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class="ar_title"> <h1>社?？ㄔ趺从脕砜床∈褂弥改?/h1> <div id="wforbkv" class="ar_title_b"> <div id="zxz3uy0" class="sub_title clear"> <span id="l8bmgyw" class="sp2 c6 fl">時間：<time class="fxtime">2017-09-12 08:55:02</time></span> <span id="nblfxz5" class="sp1 c6 fl"><em id="zuozhe" class="noshow">劉麗</em><em class="user_id noshow">859</em>由 <em class="nickname"></em> 分享</span> <span id="53rjt34" class="fl arc_btn"></span> </div> </div> </div> <div id="nscfpmb" class="y_ju"></div> <div id="ydf4doz" class="con_article con_main" id="contentText"> <p> 　　社會保障卡是我國居民未來社會保障的惟一載體。社保卡看病是最基本的功能，社?？ㄔ趺从脕砜床∧?怎么使用?小編為大家解答社?？ㄔ趺从脕砜床∠嚓P(guān)問題!</p><h2> 　　社?？床〉氖褂?a href='http://lpo831.com/way/' target='_blank'><u>方法</u></a></h2><p> 　　住院時，憑身份證明和醫(yī)生入院安排，在住院部先繳納住院押金住院。到病房后，將醫(yī)?？ń坏阶o士服務(wù)臺，那么醫(yī)院在檢查治療過程中，就會把不能報銷的藥品、器械等一切費用，讓你到門診繳費，如同非參保人員一樣，現(xiàn)金結(jié)賬。住院押金不足時，還得續(xù)交押金。</p><p> 　　本次所住醫(yī)院有個醫(yī)保辦公室，負責(zé)通知患者醫(yī)保手續(xù)的辦理以及蓋章事項，在其指導(dǎo)下，于未辦理出院手續(xù)前，先行在住院科室病房，將住院病歷、出院小結(jié)、診斷證明等材料一并復(fù)印，這比出院后到醫(yī)院檔案室復(fù)印要容易得多。</p><p> 　　因為本次住院是由于被門擠傷，所以需要醫(yī)生在安排住院的病歷上，寫明是意外受傷還是其他原因，并到居住地社區(qū)開具受傷過程證明，這主要是說明無第三方賠付，或防止有人非法套取醫(yī)保資金。</p><p> 　　接著辦理出院手續(xù)，住院部在結(jié)清賬目后開具費用清單，將此清單及在病房復(fù)印的資料一起拿到醫(yī)保中心，經(jīng)初審，如有資料不全，盡快返回補辦。然后，告訴你5個工作日后，取審核通知單。</p><p> 　　結(jié)果很快在3個工作日后，就接到醫(yī)保中心電話通知，在拿到單子后，再次來到住院部辦理結(jié)賬手續(xù)，將報銷款從原住院押金中扣除，連同住院費結(jié)余部分一同退還住院者，到此住院、報銷終結(jié)。</p><p><strong>　　注意事項</strong></p><p> 　　住院時，多了解一些醫(yī)保規(guī)定，以方便辦理相關(guān)手續(xù)。</p><p> 　　為方便商業(yè)險二次報銷，在復(fù)印病歷和辦理相關(guān)手續(xù)時，最好都準(zhǔn)備雙份資料。</p><h2> 　　社?？床箐N情況</h2><p> 　　第一，使用特殊醫(yī)用材料或使用單價在1000元以上的一次性醫(yī)用材料，以及進行人工器官的安裝和置換，由基本醫(yī)療<a href='http://lpo831.com/live/cai/baoxian/' target='_blank'><u>保險</u></a>統(tǒng)籌基金按國產(chǎn)普及型價格支付90%;</p><p> 　　第二，慢性腎功能衰竭在門診做透析，器官移植后在門診用抗排斥藥，惡性腫瘤在門診化療、放療、介入治療或核素治療的基本醫(yī)療費用，由基本醫(yī)療保險統(tǒng)籌基金支付90%;</p><p> 　　第三，門診特殊檢查治療費用由基本醫(yī)療保險統(tǒng)籌基金支付80%，個人自付20%;</p><p> 　　第四，連續(xù)繳費與報銷比例掛鉤，參保人連續(xù)參保2年后，報銷比例增加到71%，連續(xù)參保4年后，報銷比例增加到72%，以此類推。</p><p> 　　需要提醒的是，不同的城市，社?？床箐N比例是不一樣的，這主要與當(dāng)?shù)氐尼t(yī)療保險待遇有關(guān)系，建議可以撥打社保電話12333咨詢，或者向當(dāng)?shù)氐纳绫＞肿稍?</p><h2><strong>　　社?？ㄗ≡簣箐N注意事項</strong></h2><p> 　　1.就診醫(yī)院不同醫(yī)療保險報銷比例不同</p><p> 　　假如一個人在醫(yī)院用了10000元，如果是在一級醫(yī)院就診住院，那么就先減去500元;如果是在二級醫(yī)院就診住院，就先減去1000元;如果是三級醫(yī)院就診住院，就先減去2000元;之后再剔除“非醫(yī)保用藥費用”及“<a href='http://lpo831.com/meng/xiaqita/' target='_blank'><u>其它</u></a>非醫(yī)保范圍費用”，剩下在職人員報80%，退休或者失業(yè)、無業(yè)50%。</p><p> 　　注：醫(yī)保報銷只保甲類藥品即醫(yī)保用藥，乙類為非醫(yī)保用不可報銷。</p><p> 　　2.在職員工住院醫(yī)療報銷報銷比例</p><p> 　　醫(yī)保住院，總費用除開自費部分、乙類費用先自付10%之后，超過醫(yī)院醫(yī)保門檻費的部分，享受統(tǒng)籌支付比例。醫(yī)院級別不同門檻費不同，享受統(tǒng)籌支付的比例也不同。職工醫(yī)療保險的比例百分之八十幾(武漢市82%/84%/87%)，居民醫(yī)療保險的比例70%左右(武漢市80%/65%/50%)。</p><p> 　　這樣看來，醫(yī)保住院的自己掏錢比例，不好說，自費部分全部自己掏錢，門檻費全部自己掏錢，乙類費用先自己掏錢10%，再同甲類費用一起，自己掏錢20%左右。</p><p> 　　社保卡看病報銷比例</p><p> 　　一、使用特殊醫(yī)用材料或使用單價在1000元以上的一次性醫(yī)用材料，以及進行人工器官的安裝和置換，由基本醫(yī)療保險統(tǒng)籌基金按國產(chǎn)普及型價格支付90%;</p><p> 　　二、慢性腎功能衰竭在門診做透析，器官移植后在門診用抗排斥藥，惡性腫瘤在門診化療、放療、介入治療或核素治療的基本醫(yī)療費用，由基本醫(yī)療保險統(tǒng)籌基金支付90%;</p><p> 　　三、門診特殊檢查治療費用由基本醫(yī)療保險統(tǒng)籌基金支付80%，個人自付20%;</p><p> 　　四、連續(xù)繳費與報銷比例掛鉤，參保人連續(xù)參保2年后，報銷比例增加到71%，連續(xù)參保4年后，報銷比例增加到72%，以此類推。</p><p> 　　需要提醒的是，不同的城市，社?？床箐N比例是不一樣的，這主要與當(dāng)?shù)氐尼t(yī)療保險待遇有關(guān)系，建議可以撥打社保電話12333咨詢，或者向當(dāng)?shù)氐纳绫＞肿稍?</p><h2> 　　變更社?；鶖?shù)操作步驟</h2><p> 　　提前在網(wǎng)上約號，之后，由公司社保專員攜帶繳費工資基數(shù)變更材料到社保中心辦理手續(xù)。</p><h3 style="text-align: center;"><strong><span style="color: rgb(255, 0, 0);">　　>>>下一頁更多精彩“變更社?；鶖?shù)準(zhǔn)備材料”</span></strong></h3><p> </div> <div id="ym5ulnw" class="y_ju"></div> <div id="9sz99q5" class="pnum"> <ul id="page_slice"> <li><a>共2頁: </a></li><li><a href='#'>上一頁</a></li><li id="yf3m0me" class="thisclass"><a href='#'>1</a></li><li><a href='1720317_2.html'>2</a></li><li><a href='1720317_2.html'>下一頁</a></li> <div id="mivstdu" 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