Is there a time limit for hospital reimbursement?

Legal analysis: there is a time limit for medical insurance reimbursement after discharge, and the insured must go through the medical insurance reimbursement procedures within the specified time.

1. If the insured person is hospitalized in a designated networked hospital, he can directly settle the medical expenses on the spot when he leaves the hospital. However, due to special circumstances, such as the insured seeking medical treatment in medical institutions in other provinces and cities, the insured must first pay medical expenses, and then go through the procedures for reimbursement of medical expenses at the social insurance institutions in the insured areas. In this case, there is a time limit for medical insurance reimbursement when leaving the hospital.

2. Time limit for reimbursement of medical insurance in different places: At present, China has not fully realized the nationwide networking of medical insurance. Therefore, when the insured goes to a different place for medical treatment, he must first pay the medical expenses, and then bring the ID card, social security card, hospitalization expenses list and other materials to the social security institution for reimbursement of hospitalization expenses. In order to ensure the safety of medical insurance funds, various regions in China have restricted the time for reimbursement of medical insurance in different places. Due to different local conditions, the time limit for reimbursement is also different, but the basic requirement is 6 months to 1 year.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

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

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.

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

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

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

(3) 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.