Good news! Another big hospital in Changping has opened medical insurance
Beijing Gaobo Hospital has been officially included in the designated medical institutions of Beijing Basic Medical Insurance. From February 7, 2024, insured persons can enjoy medical insurance treatment according to regulations when they hold a card in the hospital(Medical insurance code: 14110039 Name of medical institution: Beijing Gaobo Hospital).
Introduction to Beijing Gaobo Hospital
Beijing Gaobo HospitalIt is located in Zhongguancun Life Science ParkAs a pioneer and explorer of international research hospitals, it has been attracting attention since the launch of the project. It is understood that the hospital has 8 floors above ground and 3 floors undergroundThere are 10 supporting disciplines, including respiratory and critical care medicine, endocrinology, digestive tract oncology, and general internal medicine500 beds are planned. The hospital was built"Expert team outpatient" service modelEvery day, experts from municipal tertiary hospitals visit to provide patients with high-quality, efficient and convenient diagnosis and treatment services.
Before seeking medical treatment, the local insured person needs to modify the designated hospital
Advance filing of medical insurance in other places
From now onBeijing medical insurance patients can hold a "social security card" or "electronic medical treatment certificate".In Beijing Gaobo Hospital, outpatient and inpatient settlements are settled according to medical insurance; Patients with medical insurance in other placesAfter filing for medical treatment in other places, the hospitalization business can be settled directly with the card, and if there are special circumstances (unstable medical insurance network, special regulations in the local insurance area, etc.), you need to contact the local government for manual reimbursement; The outpatient and emergency department of patients with remote medical insurance shall be settled with the card according to the local requirements, and if the outpatient clinic in the insured area is not opened, the settlement cannot be made with the card.
Beijing Resident Medical Insurance (one old).Those who have not signed a contract with a family doctor and those who have been transferred to land acquisition are required to go to a grassroots institution for the first diagnosis and referral before going to the outpatient clinic of Beijing Gaobo Hospital; Non-local participantsBefore seeking medical treatment in the hospital, you need to go to the "National Medical Security Service Platform APP" to record for medical treatment in other places, and select "Beijing" as the location of medical treatmentIf you cannot apply for the record through the APP, you need to contact the medical insurance department of the place where you participate in the insurance for the record, and the filing method and effective date are subject to the local policy.
How can Beijing medical insurance patients modify the designated hospital of medical insurance?
Insured persons can apply for changes through the "Beijing Medical Insurance Public Service Platform" or the "Jingtong" applet, or through the employer or the social security office in the place where they participate in the insurance.
Method 1: PassChange of "Beijing Medical Insurance Public Service Platform".
Change for yourself
Open the Beijing Medical Insurance Public Service Platform (**Log in and click "I want to do" on the left side of the list Change of Designated Medical Institutions for Employees Residents Click on the designated medical institutions to be changed Enter "Beijing Gaobo Hospital" and click on the query, select the "Select" button and click Submit.
Change for someone else
Beijing Medical Insurance Public Service Platform "I want to do" agency business relationship maintenance, change of residents' personal basic information, personal account mutual aid.
Method 2:Change through the "Jingtong" applet
Search on the WeChat applet or Alipay homepage or APP to enter the "Jingtong" applet Log in Find the "Medical Insurance Service" window under the "Popular" column Select the "Change of Designated Medical Institutions for Employees" service Click "Select" behind the hospital you need to change, search for the hospital you need, and click Confirm A prompt for successful operation appears.
After the successful revision of the designated hospital, it will take effect on the next day.
Scroll down to see the detailed process.
Procedures for filing for remote medical treatment on the national medical insurance service platform
For more details about medical insurance, you can log on to the official national medical insurance service platform** or consult the local medical insurance agency, or call Beijing Gaobo Hospital for medical insurance consultation (**400-696-2000, consultation time: Monday to Friday 8:00-17:00).
Reimbursement for outpatient special diseases
It is also necessary to apply for special disease designation and filing
Beijing Gaobo Hospital will soon open reimbursement for outpatient special diseases in Beijing (consult the Medical Insurance Office for details), and the outpatient special diseases covered are:Malignant tumor clinic**, hemophilia, aplastic anemia.
Patients with special diseases can choose 2 designated hospitals as their designated hospitals for special diseases, and after handling the special disease designation and filing, the medical expenses of the patient's "special disease" in the outpatient clinic will be reimbursed according to the hospitalization method and hospitalization ratio, and the number of deliveries of the "minimum payment line" will be reduced or exempted (the minimum payment line will only be delivered once per settlement cycle), and the filing will be valid for a long time. (The remote door chronic disease service has not yet been opened, and will be notified separately after opening.) )
What is the reimbursement rate?
Insured persons in BeijingThe reimbursement ratio shall be implemented with reference to the following tableInsured persons in other placesThe reimbursement rate needs to be consulted with the place where you are insured.
Remarks:
1. Minimum payment standard: refers to the medical expenses borne by the individual in each natural year, and the part that exceeds the minimum payment standard will be reimbursed according to the prescribed proportion;
2. Maximum payment limit: the maximum amount paid by medical insurance** in each natural year, and the basic medical insurance will not be reimbursed after exceeding the maximum payment limit;
3. The over-transfer personnel shall be implemented with reference to the retirees of urban employees.