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宁波医保结算跨年暂停服务10小时 住院各类情况这样处理

日期: 2020-01-01 13:15:25    来源: 中国宁波网   
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2020欧洲杯直播时间

  昨天,宁波市医疗保障局发布消息,宁波城乡居民医疗保险将于2020年1月1日跨入新年度(城乡居民医保年度为每年的1月1日至12月31日),并有多项新政将实施。其间,医保就医结算系统将暂停服务10小时。速来了解。

  报销怎么办?

2020欧洲杯直播时间  YIBAOXITONGZANTINGFUWUQIJIAN,CHENGXIANGJUMINYIBAOCANBAORENYUANZAIDINGDIANYILIAOJIGOUMEN(JI)ZHENJIUYIDEYILIAOFEI,YOUGERENXIANJINZHIFU,JIEHOUDAONINGBOSHINEIJIUJINYIBAOJINGBANJIGOULINGXINGBAOXIAO。ZHIGONGYIBAOCANBAORENYUANKEYIZAIDINGDIANYILIAOJIGOUXUANZEYINGJIJIZHANGFANGSHIJIESUANYILIAOFEI(XUANZEYINGJIJIZHANGFANGSHI,BUZAIZHONGFUBAOXIAOYILIAOFEI);YEKEYIZAIDINGDIANYILIAOJIGOUXUANZEXIANYOUGERENXIANJINZHIFU,JIEHOUDAONING BOSHINEIJIUJINYIBAOJINGBANJIGOULINGXINGBAOXIAO。

  SHIYIBAOJUTIXINGYIBAOCANBAORENYUAN,RUFEIBIXU,QINGJINLIANGBIKAIZAICISHIJIANDUANJIUYI。

  跨年度住院各类情况处理

  ① 首次参保人员跨年度住院。城乡居民的首次参保人员(指2020年1月1日开始享受宁波市城乡居民医保待遇人员)如果12月31日前已登记住院的,其在12月31日前已经发生的医疗费应按原渠道结清,2020年1月1日起凭本人的社会保障卡办理医保入院登记手续。

  ② 连续参保人员跨年度住院。对 于连续参加城乡居民医保人员,其跨年度连续住院的医疗费用,按出院结算时的城乡居民医保年度和对应人员类别进行结算,例如参保人员在2019年12月23 日入院,2020年1月3日出院,其住院期间的所有医疗费均按2020城乡居民医保新年度医疗待遇进行累计计算,即医疗费计算到2020年1月1日至 2020年12月31日这一医保年度。上述参保人员在2019城乡医保年度(2019年1月1日至2019年12月31日)内住院医疗费累计额度已比较 高,且需跨年度连续住院的,为避免占用2020城乡居民医保年度的住院累计额度,可由个人自愿选择在12月31日前结清前面的医疗费。

  ③ 新年度未参保人员跨年度住院。2020欧洲杯直播时间2019年12月31日前享受宁波市城乡居民医保待遇,但未参加2020年度我市城乡居民医保的人员,应在2019年12月31日之前结清本次住院医疗费用,2020年1月1日之后的费用由个人承担。

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