What materials do I need to go to the Social Security Bureau for reimbursement?

1. What materials are needed for social security medical reimbursement?

1, transfer application form:

Medical insurance requires everyone to see a doctor for the first time (except for individual insurance policies), that is, you have to go to your designated hospital to see a doctor. According to the condition and the patient's own needs, the first-time hospital can give you a transfer application form. After the patient signed and sealed the application for transfer to the local medical insurance department, he applied for transfer to the selected hospital for medical treatment. After being hospitalized in the selected hospital, you should go to the hospital medical insurance window to handle the transfer seal with hospitalization procedures.

2, hospital medical records:

After the patient is cured and discharged from the hospital, it will take about one month (in different hospitals) to go to the designated place to copy the medical records. If there is no time, there are many people who specialize in copying medical records and mailing them home. Give them your contact information.

3. List of hospitalization expenses:

When the patient leaves the hospital, the hospital will provide you with a list of daily expenses. Please pay attention. Every chapter of the document should be stamped with the red seal of the hospital. If there is no official seal, you have to go to the hospital.

4, medical insurance certificate:

Employees with medical insurance will give you a certificate and a card. Usually, doctors promise not to use it. Leave it at home, or it's hard to find. A copy of medical insurance certificate is required. Please note that the pages inside must be completely copied so that people can see whose certificate this is.

5. Medical insurance card:

Generally, the medical insurance cards we issue are all carried with us, so we need a copy. Pay attention to double-sided copy, copy on a piece of white paper.

6. ID card:

I also need a copy of my ID card, and both sides are printed on a piece of paper at the same time. It should be noted that the registered name of the hospitalized patient must be exactly the same as the ID card, and there can be no homonyms.

7. Bank passbook:

The reimbursement for hospitalization is not paid in cash, but sent to your passbook. This passbook is the bank designated by the medical insurance department for you, not your own passbook. When opening a passbook, you should use the ID card of the inpatient to open an account. When reimbursing, please make a copy, and pay attention to copying all the page numbers, without leaving any items.

Second, what is the scope of enterprise medical insurance reimbursement?

1. After the emergency treatment in the hospital, the medical expenses of more than 2,000 yuan can be reimbursed, and the reimbursement rate is 50%;

2. If it is a retiree under 70 years old,1.The expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%;

3. For retirees over 70 years old,1.The expenses above 300 yuan can be reimbursed by 80%;

4. The hospitalization reimbursement standard is related to the hospital level where the insured lives:

(1) If you live in a tertiary hospital, the employee pays 15%, that is, 85% is reimbursed, and the minimum threshold is 30,000 yuan;

(2) The expenses of 30,000 yuan to 40,000 yuan shall be paid by the employees themselves 10% and reimbursed by 90%;

(3) 95% of expenses exceeding 40,000 yuan to the maximum payment limit can be reimbursed, and employees only need to pay 5%;

(4) The individual contribution ratio of retirees is 60% of the on-the-job (that is, the above-mentioned) employees, but all below the threshold is paid by individuals.

Three. Medical insurance reimbursement conditions

1, the applicant has gone through the insurance formalities and paid the medical insurance premium in full;

2, cooperative medical designated medical institutions for medical treatment;

3. The medical expenses incurred by the insured in hospitalization in medical institutions shall be paid in cash in advance, and relevant documents and materials shall be kept.

legal ground

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, 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.