How much does a 120 ambulance charge? Can medical insurance be reimbursed? What is the difference between 120 and 962120?
Recently, a reader left a message on the interactive message board of Jiefang Daily's Shangguan News, asking questions such as "How to charge for calling 120? Can medical insurance be reimbursed? What is the difference between 120 and 962120?". The reporter consulted with the Shanghai Medical Emergency Center and the Shanghai Medical Insurance Bureau, and provided readers with the following answers and clarifications.
Q: What is the difference between 120 and 962120?
Answer: 120 is an emergency hotline responsible for pre hospital emergency treatment; 962120 is a non emergency hotline responsible for rehabilitation and discharge.
In April 2018, the Shanghai Medical Emergency Center opened the 962120 rehabilitation and discharge dedicated line, which is used to divert patients who are not in emergency transportation within the Shanghai area. After the opening of 962120, 120 will no longer accept non emergency event alarms. Patients who are still unable to move after receiving effective treatment in the hospital, patients who have recovered and returned home, or patients who have gone to nursing homes, nursing homes, and other institutions can call 962120 for pick-up and drop off services. They can make an appointment one day in advance, and the appointment system will inform them through SMS before providing the service. The rehabilitation discharge service uses a designed and modified ordinary ambulance, equipped with professional fixing and handling equipment, medical oxygen and disinfection facilities, but does not provide first aid equipment. Each vehicle is equipped with at least three professionally trained and qualified first aid auxiliary personnel.
Q: Can medical insurance be reimbursed for both 120 or 962120?
Answer: By dialing 120, you can go through medical insurance reimbursement; If you dial 962120, medical insurance will not be reimbursed. In addition, commercial insurance purchased by individuals may have reimbursement items for the rehabilitation and discharge process.
Q: What are the charging items for 120? What is the reimbursement ratio?
Answer: There are a total of 7 charging items for 120, which are: ambulance fee, waiting fee, pre hospital emergency fee, medication fee, material fee, examination fee, and treatment fee.
The pre hospital emergency fee standards announced by the Shanghai Medical Emergency Center.
However, 962120 only has two charging items: ambulance and waiting fees, both of which require self payment.
The rehabilitation and discharge fee standards announced by the Shanghai Medical Emergency Center.
The reimbursement cost of 120 does not include emergency vehicle expenses and non emergency medical expenses. The payment standards for pre hospital emergency medical expenses and medical insurance shall be implemented in accordance with the relevant provisions of the basic medical insurance measures of this city. The personal responsibility ratio of insured persons who pay pre hospital emergency medical expenses from the basic medical insurance fund shall be implemented according to the payment standards of primary medical institutions.
Can 120 reimbursement be settled in real-time?
Answer: According to the Shanghai Municipal Health Commission, starting from September 2022, the "120 Ambulance Medical Insurance Direct Settlement" project has achieved full coverage of the city's 120 ambulance medical insurance direct settlement, completing mobile and convenient payment of medical insurance. That is to say, after dialing 120, the pre hospital emergency medical expenses can be settled in real-time.
If the real-time settlement conditions are not met, the individual can first advance the payment, and then apply for reimbursement in accordance with the relevant regulations for sporadic reimbursement by presenting the personal medical insurance certificate, identity certificate, and the special receipt for emergency medical expenses issued by the Shanghai Medical Emergency Center or the special receipt for emergency medical expenses issued by the medical emergency center in various suburbs of the city.