Job Recruitment Website - Social security inquiry - Can employee medical insurance be reimbursed for cross-city hospitalization?
Can employee medical insurance be reimbursed for cross-city hospitalization?
The medical insurance reimbursement process is as follows:
1. Payment of medical expenses: After the visit, the medical institution will settle the related expenses according to the individual's medical insurance situation and medical expenses, and the individual needs to pay according to the requirements of the medical institution.
2. Receiving receipts: Individuals need to receive medical expense receipts from medical institutions and check all the information on the receipts.
3. Submit an application for reimbursement: individuals need to submit an application for reimbursement to the local social security center or the Human Resources and Social Security Bureau with medical expense receipts and related materials (such as medical records and prescriptions).
4. Waiting for review: After submitting the application, you need to wait for a certain period of time, waiting for the social security center or the Human Resources and Social Security Bureau to review the application.
The conditions for medical insurance reimbursement are as follows:
1, social basic medical insurance: you must participate in the local social basic medical insurance to enjoy the medical insurance reimbursement service.
2. Medical services within the scope of medical insurance catalogue: medical insurance reimbursement is limited to medical services and medicines within the scope of medical insurance catalogue, and some high-end medical services and medicines may not be within the scope of medical insurance catalogue and cannot enjoy medical insurance reimbursement services.
3. Designated medical institutions for medical insurance: Medical insurance reimbursement is limited to medical services provided by designated medical institutions for medical insurance. If you go to a non-designated medical institution for medical treatment or medicine purchase, you will not be able to get medical insurance reimbursement.
4. Necessity of disease diagnosis and treatment: Medical insurance reimbursement must diagnose and treat diseases that meet the standards of medical diagnosis and treatment, and the treatment must be necessary, reasonable and economical.
5. Provide complete medical expense vouchers: Medical expense invoices or receipts and other formal medical expense vouchers are required for medical insurance reimbursement to prove that the reimbursed expenses are true and legal.
To sum up, different medical insurance policies and regions may have different requirements for information, and the specific situation needs to be decided according to local policies and regulations.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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