Heze medical insurance reimbursement process

Medical insurance reimbursement process:

1. The parties shall go to the hospital to go through the medical insurance networking formalities with valid certificates such as medical insurance card or ID card and household registration book, and go through the settlement formalities directly when they leave the hospital;

2. Or bring all relevant materials to the relevant departments of the local social security center. Those who meet the requirements after the completion of the audit can be settled immediately.

Legal objectivity:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

People's Republic of China (PRC) social insurance law

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.