Job Recruitment Website - Social security inquiry - What materials does the medical insurance reimbursement hospital need to issue?
What materials does the medical insurance reimbursement hospital need to issue?
1. List of medical expenses: including detailed list of outpatient medical records, inpatient medical records, laboratory tests, prescriptions and other related medical expenses;
2. Medical insurance card: employees need to provide their valid medical insurance card when handling medical insurance reimbursement;
3. ID card: employees need to provide their valid ID card when handling medical insurance reimbursement;
4. Social security certificate: employees need to provide social security certificates to prove that they have participated in social insurance, including medical insurance and endowment insurance;
5. Other materials: According to different medical insurance reimbursement situations, other relevant materials may be needed, such as work injury certificates and birth certificates.
The process of medical insurance reimbursement requiring hospital to issue materials generally includes the following steps:
1. See a doctor and settle the medical expenses. When you are in hospital, you need to settle the medical expenses and pay the corresponding expenses. If you need medical insurance reimbursement, you need to inform the hospital at the time of settlement, and submit medical insurance cards, ID cards and other related documents;
2. Relevant materials issued by the hospital. After receiving the patient's medical insurance reimbursement application, the hospital will conduct relevant audits and issue the corresponding medical expenses list, medical records, diagnosis certificates and other materials. Among them, the medical record and diagnosis certificate need the signature and seal of the doctor, and indicate the relevant information and diagnosis results;
3. The patient submits the reimbursement materials. Patients need to submit relevant materials and personal medical insurance cards issued by the hospital to the local social security bureau or medical insurance center for reimbursement. When submitting an application, you need to carefully check the materials and information to ensure that it meets the reimbursement requirements and policies;
4. Review and reimbursement. After receiving the patient's application for reimbursement, the medical insurance center conducts audit and accounting, and carries out medical insurance reimbursement according to the policy. If the application meets the requirements, the medical insurance center will transfer the corresponding expenses to the personal medical insurance account or directly refund it to the patient.
To sum up, there may be differences in the medical insurance reimbursement process in different regions and hospitals, and the specific situation needs to be handled according to local policies and regulations. At the same time, patients need to properly keep the relevant materials issued by the hospital to avoid loss and damage, which will affect the subsequent medical insurance reimbursement.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 17
If an individual who participates in the basic old-age insurance dies due to illness or non-work, his survivors can receive funeral grants and pensions; Persons who have completely lost their ability to work due to illness or non-work-related disability before reaching the statutory retirement age can receive disability allowance. The required funds are paid from the basic old-age insurance fund.
Article 26
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
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.
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