Jumping off a building by yourself to be hospitalized can health insurance reimbursement

The hospitalization of oneself jumping down from the stairs can not be reimbursed by the medical insurance.

The conditions for reimbursement of medical insurance:

1. To get reimbursed for medical treatment in a designated institution, the first thing that is needed is for the insured person to visit or buy medicines in a designated medical institution or pharmacy as stipulated in the basic medical insurance policy.

3. In order to be reimbursed by the health insurance, the medical expenses incurred by the insured person should reach the starting line stipulated by the social security system, and the portion of the medical expenses that exceeds the starting line and is within the limit will be reimbursed, and will be paid by the basic medical fund at a uniform rate. The basic medical fund will pay a uniform percentage of the expenses.

The required documents are as follows:

1. The original of the participant's valid ID card or social security card;

2. The original of the outpatient medical record, report card of the examination and test results, and other medical information;

3. The original of the identity card of the agent if the application is done by the agent;

4. The certificate of diagnosis of illness issued by the specialist doctor of the designated medical institution;

5. The original of the certificate of diagnosis of illness issued by the specialist doctor of the designated medical institution;

6. The original diagnostic certificate of the disease;

5. The original computer-printed list of outpatient expenses or the original payment prescription issued by the doctor;

6. The original receipt for outpatient charges of the financial and tax unified medical institutions.

Medicare process is:

1, the first to prepare the participant's own identity card;

2, household registration and the employer's relevant information, to the local health insurance center of the health insurance window to apply for processing, according to the staff's prompts in accordance with the procedures for health insurance, for a good job in the prescribed time to the point of service to collect the health insurance card on behalf of the application.

Medicare reimbursement process:

1, the original ID card or social security card;

2, the original certificate of disease diagnosis issued by a specialist doctor of the third or second level hospital of the designated medical institution;

3, the original outpatient medical records, examination, test results report card and other medical information;

4, the original receipt of the financial, tax unified medical institution outpatient The original fee receipt;

5. The original printed list of outpatient expenses or the original paid prescription issued by the doctor;

6. Designated pharmacies: the original unified invoice for sales of tax commodities and the original printed list;

7. The original ID card of the person who acts on behalf of the doctor if he/she acts on behalf of the doctor.

Summary, the reimbursement of the use of health insurance materials needed to include the hospital's medical records, the need for doctors to fill out the medical records and issued a certificate of discharge; but also need to be the total account of the medical expenses, including medication, hospitalization, surgical fees, nutritional costs, clinic fees and other medical insurance regulations can be reimbursed, in addition to the person's identity card original and photocopies, and so on.

Legal basis:

The Chinese people's **** and the State Social Insurance Law, Article 10

The insurance contract is the policyholder and the insurer agreed to the insurance rights and obligations of the agreement. The policyholder is the person who enters into an insurance contract with the insurer and is obligated to pay premiums in accordance with the contract.

The insurer is the insurance contract with the policyholder, and in accordance with the contract to assume the responsibility for compensation or payment of insurance benefits.

Article 28

Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency treatment and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.