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How is medical insurance field reimbursement reimbursed?
2. When the insured falls ill while traveling, studying or visiting relatives in other places, he can go to the local public hospital for medical treatment. After hospitalization, send the hospitalization diagnosis and illness profile to the medical insurance center for filing and approval (including emergency observation and treatment), and pay the expenses in cash. After discharge, with all hospitalization materials, the employer shall apply for reimbursement to the municipal medical insurance center in accordance with the regulations.
1. When outpatients and inpatients seek medical treatment in different places, they need to produce expense receipts and lists, prescriptions, detailed lists, medical insurance manuals and disease diagnosis certificates (be as detailed as possible to avoid refusing visas due to incomplete diagnosis). At the same time, it is necessary to issue a grade certificate of the hospital, submit it to the employer (or social security office) for summary, and report it to the county medical insurance center for review and settlement.
2. Medical expenses incurred in designated hospitals in different places can be reimbursed back to Beijing by mailing reimbursement documents and family declarations. The scope and standard of reimbursement are completely implemented in accordance with Beijing's medical insurance benefits. Reimbursement can be collected by family members or by setting up a special passbook.
Legal basis: Article 8 of the Detailed Rules for the Implementation of the Social Insurance Law of People's Republic of China (PRC), if the medical expenses incurred by the insured in the agreed medical institutions meet the standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities, they shall be paid from the basic medical insurance fund in accordance with state regulations.
If the insured really needs emergency treatment and rescue, the scope of drugs that must be used for medical treatment in non-agreed medical institutions may be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
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