How to reimburse Sanmenxia medical insurance for hospitalization in different places

Sanmenxia medical insurance hospitalization reimbursement process is as follows:

1. Go to the medical insurance agency with ID card, social security card and basic medical insurance transfer record form issued by the hospital.

2. Choose a hospital.

3, the insured institutions audit, and transmit the information to the national telemedicine settlement platform.

The materials required for reimbursement of hospitalization expenses in Sanmenxia are as follows:

1, original receipt;

2, hospitalization expenses statement;

3, discharge diagnosis certificate;

4. Copy of observation certificate or death certificate;

5, drugs, examination and treatment costs, emergency observation need to be stamped with the "emergency chapter" of the medical insurance prescription or emergency prescription of the emergency department;

6, social security card, "urban medical insurance manual";

7, the hospital full checkout certificate and unit description.

To sum up, reimbursement of hospitalization expenses can be divided into two situations. Local patients can be reimbursed at the hospital checkout when they leave the hospital, and patients in different places need to bring information to the social security bureau window of the administrative service center for reimbursement. The proportion of reimbursement for medical treatment in different places is low, but the scope of reimbursement for drugs is the place of treatment, so there is no need to worry about the connection of drugs.

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 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.