Is the medical insurance reimbursement first advance payment and then reimbursement?

No, the reimbursement of the medical insurance card is directly reimbursed when you are discharged from the hospital, and you do not need to pay for the individual part of the reimbursement after deducting the reimbursement of the medical insurance. However, if you don't have your card with you at the time, you can choose to pay first and then be reimbursed, but the procedure is a bit more complicated.

1. Can you pay out of pocket and get reimbursed at the health insurance office without a health insurance card

You can get reimbursed with a health insurance card, but you have to pay out of pocket and get a receipt for the reimbursement, and there is a time limit on that, so you have to do it as soon as possible.

2. How to get reimbursed after the first self-pay

Situation 1: when hospitalized forgot to bring the social security card or medical card related documents, you can follow up to supplement the relevant documents into the medical insurance;

Situation 2: hospitalization did not issue a certificate of hospitalization caused by the temporary self-payment of hospitalization, the follow-up to make up a good certificate of hospitalization can be converted to medical insurance;

Situation 3: because of the medical card arrears lead to the Temporary self-funded hospitalization can be converted to medical insurance hospitalization after the fees are made up.

Medical insurance generally refers to basic medical insurance, a social insurance system established to compensate workers for economic losses caused by the risk of illness. Through the employer and individual contributions, the establishment of a medical insurance fund, the insured person sick visit medical expenses incurred by the medical insurance organization to give them a certain amount of financial compensation.

The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and members of society, coupled with government funding, can enable sick members of society to obtain the necessary material help from society, reduce the burden of medical expenses, and prevent sick members of society from "becoming poor due to illness".

In November 2019, the first batch of 422 diseases and payment methods were announced in Anhui, and from January 1, 2020, the urban and rural residents' health insurance insured people will have a unified payment standard when they visit 18 hospitals in the province.

Medical insurance, like other types of insurance, is a contractual way of collecting medical insurance premiums in advance from people threatened by illness and establishing a medical insurance fund; when the insured person falls ill and goes to a medical institution and incurs medical expenses, the medical insurance organization will give some financial compensation. Therefore, medical insurance also has two major functions of insurance: risk transfer and compensation transfer. That is, the individual by the risk of disease caused by the economic loss of all the members of the same risk threat, with the centralized health insurance fund to compensate for the economic loss caused by the disease.