How to reimburse Zhanjiang medical insurance

Zhanjiang medical insurance reimbursement methods are as follows:

1. The handling personnel submit reimbursement documents and other materials to the Social Insurance Fund Administration and declare them, and the Social Insurance Fund Administration accepts the relevant materials;

2. After receiving the application materials, the accepting department will complete the examination, settlement and payment on the same day;

3, the social insurance fund management bureau to review the materials and approve the application, the applicant to receive the "social medical insurance medical expenses reimbursement form", to be reimbursed;

4. The applicant shall submit the reimbursement materials to the medical insurance agency, and then apply. After the medical insurance agency accepts it, it will review the relevant materials and reimburse those with complete materials. If the materials are incomplete, the medical insurance agency will return the application materials on the spot and inform the materials that need to be filled at one time.

Will medical insurance for serious illness be reimbursed?

The insured in the designated medical institutions for serious illness hospitalization and outpatient medical expenses, the basic medical insurance fund in accordance with the provisions of payment, personal burden of the following expenses into the scope of payment of serious illness medical insurance fund:

1, medical expenses that meet the scope of overall payment and exceed the maximum payment limit of the basic medical insurance fund;

2, in line with the scope of overall payment, individual medical expenses paid according to Qifubiaozhun and conceited proportion;

3, class B drugs, medical services, medical service facilities into the scope of overall payment of medical expenses, borne by individuals in accordance with their respective proportions.

To sum up, the Qifubiaozhun and reimbursement ratio of basic medical insurance for urban residents are determined according to the categories of insured persons.

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 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.