1. Patients who are transferred to the First Affiliated Hospital of Zhengda for various reasons need to issue a paper referral form from the local hospital at or above the county level (note: the date of issuance of the referral form is earlier than the date of hospitalization);

2. The patient was not hospitalized in the local county hospital, but was hospitalized directly in the Affiliated Hospital of Zheng Dayi. It is generally difficult to issue a paper referral form, but an electronic referral form can be handled. The reimbursement ratio shall be implemented according to the medical directory and the policy of the insured place;

3. After the referral, bring the patient's ID card, medical insurance card and hospitalization certificate to the window of the medical insurance office in the inpatient department of Building 7 1 (other departments are hospitalized in the ward building 1) for medical insurance registration;

4. On the day of discharge, prepare a copy of ID card and referral form for the attending doctor to sign. The doctor will go through the discharge-related procedures such as discharge certificate and diagnosis certificate, and stamp it at the nurse station. Then go to the settlement office in the lobby of inpatient department in Building 7 (the lobby of inpatient department in other departments is 1) with the relevant discharge procedures, hospitalization bill, ID card and medical insurance card, and the reimbursement amount will be directly returned to the original account.

Proportion of reimbursement for new rural cooperative medical system in different places:

1, township hospitals for medical treatment, deductible 100 yuan, reimbursement rate of 90%;

2. County-level designated hospitals for medical treatment, deductible line 200 yuan, reimbursement rate of 82%;

3, municipal designated hospitals for medical treatment, deductible for 500 yuan, the reimbursement rate is 65%;

4. Provincial designated hospitals for medical treatment, deductible line 700 yuan, reimbursement rate of 55%;

5. For medical treatment in non-designated hospitals outside the province, the deductible line is 1 0,000 yuan, and the reimbursement rate is 45%.

To sum up, the expenses incurred in emergency, outpatient and hospitalization in different places can be applied for reimbursement if they are within the scope of reimbursement of the local new rural cooperative medical system. The reimburser only needs to bring relevant materials to the Social Security Bureau to apply.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.