Social security card how to reimburse medical expenses

Social security card reimbursement of medical expenses as follows:

1, first of all, when the participant goes to see a doctor, take the social security people to see the doctor, will open a prescription to pay; the participant to take the registration form to see a doctor in the department, the doctor to give the participant card to go to the registration office registration;

2, the participant to take the prescription to the hospital billing window billing price, brush the social security card to pay for the scope of the medical insurance fund directly If some drugs in the prescription are not covered by the medical insurance fund, the insured person needs to pay cash out of his own pocket;

3. The social insurance scheme is organized by the government, which forces a certain group of people to pay a part of their incomes as social insurance tax (fee) to form a social insurance fund, and the insured person can get a fixed amount of income or compensation for loss from the fund if certain conditions are met. is a redistributive system, and its goal is to ensure the reproduction of material and labor and social stability.

The following materials are needed for social security reimbursement:

1. Materials needed for outpatient reimbursement: original outpatient medical records, examination, test results report forms and other medical information; original ID card; original medical diagnosis certificate; original receipts for general outpatient and emergency charges, and original list of outpatient expenses or original prescriptions (with prescriptions pasted on the back of the receipts according to the date);

2, Required documents for reimbursement of maternity expenses: the original and a copy of the Certificate of Maternity Service; a copy of the baby's birth certificate; a copy of the medical diagnostic certificate; the original of all receipts and prescriptions (for Chinese and Western medicines), which are smoothly organized according to the order of the date, and a reimbursement of $4 for the consultation fee;

3. Required documents for reimbursement of work-related injuries: four copies of the Application for Work-related Injury Recognition, which is invalid for photocopying; the Certificate of Diagnosis and outpatient (medical) fee; and the original of the Certificate of Diagnosis. Diagnostic Certificate" and outpatient (inpatient) cases or "Diagnostic Certificate of Occupational Diseases" original and a copy; the original text of the labor contract and a copy of a copy; a copy of the ID card of the injured person.

Legal Basis: Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.