How to reimburse the medical insurance reimbursement process?

The reimbursement process of medical insurance reimbursement is as follows:

1. Confirm reimbursement scope: During the treatment, you need to confirm whether your treatment items are within the scope of medical insurance reimbursement;

2. Collect reimbursement materials: collect relevant treatment records, drug receipts, medical expense lists and other relevant materials;

3. Go to the social security department for reimbursement: submit relevant materials for medical insurance reimbursement to the local social security department;

4. Pending review: The social security department will conduct relevant review and comparison to confirm the reimbursement ratio and reimbursement amount; Receive reimbursement: After approval, you can receive medical insurance reimbursement at the designated bank.

To sum up, the proportion of medical insurance reimbursement in different regions is different. Urban and rural residents living in different places for a long time, urban and rural residents over 60 years of age and women over 55 years of age, urban and rural residents working in different places and their accompanying children have registered for medical treatment in different places. The deductible standards for hospitalization in the registered places are 400 yuan, 800 yuan, a first-class hospital, and 2000 yuan respectively, and the reimbursement ratio is implemented by local designated hospitals.

Medical insurance reimbursement standard:

1. Hospitalization: Medical insurance can guarantee hospitalization caused by illness or accident, including medical service fees, medicine fees, materials fees, examination fees, etc.

2. Outpatient treatment: Medical insurance can reimburse medical expenses for outpatient treatment, including registration fees, inspection fees, inspection fees, medicine fees, etc.

3. Physical examination: Medical insurance can reimburse medical examination expenses paid by individuals at their own expense.

It should be noted that there may be differences in different regions and policies, and the specific scope and standard of reimbursement shall be subject to local policies.

To sum up, we must first confirm the scope of reimbursement, collect materials, and wait for approval after submission. Medical insurance shall be paid by employers and individuals, and a medical insurance fund shall be established. After the insured person has medical expenses, the medical insurance institution will give him economic compensation, so that the patient can get necessary material help from the society and reduce the burden of medical expenses.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.

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.