How to query the progress of social security reimbursement

The query method of medical insurance reimbursement documents is as follows:

1. Log on to the website of the local human resources and social security bureau or the social insurance online service hall for enquiry;

2. Call the local social security bureau or call the national social security service hotline 12333 for enquiry;

3. Bring my valid ID card and social security card to the local social security service window; Generally speaking, it will arrive within 1 2 weeks after medical insurance reimbursement, but it does not rule out that due to other factors, medical insurance reimbursement regulations are different in different regions.

Social security medical insurance reimbursement scope:

1, outpatient and emergency medical expenses;

2, to the designated retail pharmacies to buy drugs;

3, the basic medical insurance fund Qifubiaozhun below the medical expenses;

4, more than the basic medical insurance fund Qifubiaozhun part, according to the proportion that should be borne by the individual medical expenses. The insufficient part of personal account shall be paid by myself. Medical expenses for hospitalization, emergency rescue observation and hospitalization, and medical expenses within 7 days before hospitalization observation; Outpatient medical expenses of taking anti-rejection drugs after radiotherapy and chemotherapy, renal dialysis and renal transplantation for malignant tumors.

To sum up, medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.

Legal basis:

Article 27 of People's Republic of China (PRC) Insurance Law

If there is no insured accident and the insured or beneficiary falsely claims that there is an insured accident and requests the insurer to compensate or pay the insurance money, the insurer has the right to terminate the contract without returning the insurance premium. If the applicant or the insured intentionally creates an insured accident, the insurer has the right to terminate the contract and is not liable for compensation or payment of insurance benefits; Except under the circumstances stipulated in Article 43 of this Law, the insurance premium will not be refunded. After the occurrence of an insured accident, if the applicant, the insured or the beneficiary fabricate a false cause of the accident, or exaggerate the degree of loss with forged or altered relevant certificates, materials or other evidence, the insurer shall not be liable for compensation or payment of insurance benefits for the falsely reported part. If the applicant, the insured or the beneficiary commits one of the acts specified in the preceding three paragraphs, causing the insurer to pay the insurance premium or expenses, it shall return or compensate.