Qiaopu the insurance company co-ordination procedures

(A) is applicable
Qiaopu electrical immediate family members in preparing management personnel, who may voluntarily comply with the following co-ordinating medical conditions:
1, Department of Chinese citizens, the holders of permanent residence;
2 children: age under 18 years of age (or 18 years of age are still secondary schools) and;
3, the parents or spouses: men 60 years of age, women 55 years of age, never work income.
(B) the accreditation process
Participants are required to provide one inch size color photograph, copy of ID card and medical insurance card, a person assigned by the unit on the 15th of the month - 20 sent to the co-ordinating medical office, and in co-ordinating medical certificate issued early next month.
According to the nearest medical principles, can be selected at the appointed hospitals designated hospitals.
(C) the payment standard
Participate in co-ordinating medical person per month to pay $ 5 to participate in co-ordinating medical unit by the number of participants per month to pay $ 3 shall be allocated in units of welfare;
(4) Medical treatment
1, the imported drugs, blood transfusion, special treatment costs will be allowed to check the account. Indeed due to the condition required by the approval of cash payment, required audit reimbursement (acute danger, re-used after the first batch of patients).
2, participants holding the families of co-ordinating medical certificate and the official seal of the co-ordinating medical electrical Jiagaiqiaopu out or closing a single hospital (by the units, collection, payment), to the designated hospital. Medical expenses required to account 90%, 10% of individuals pay in cash.
3, referral procedures, should be with the local municipal hospital referral issued by the attending doctor to prove, Director signature, official seal stamped with the hospital, for referral to the co-ordinating medical office procedures.
4, a fixed management of medical expenses, medical expenses over a fixed proportion of the annual settlement, then settled to the individual.
(1) hospital over a fixed fee by the ratio of 2:6:2, 20% of the municipal financial burden, the burden of 60% of the units, individuals pay 20%. (2) Out-patient costs over a fixed annual settlement by the ratio of 2:2:6, 20% of the municipal financial burden, the burden of 20% of the units, individuals pay 60%.