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

The following materials need to be prepared for reimbursement of hospitalization to the Social Security Bureau:

Medical insurance card or social security card.

Invoice for hospitalization expenses.

List of hospitalization expenses.

Discharge summary (discharge record).

Id card and bank card.

Use of reimbursement materials:

1. Hospitalization invoice: You need to provide the original hospitalization invoice issued by the hospital to ensure that the invoice contains your personal information, hospitalization date, hospitalization expenses and other necessary information.

2. List of hospitalization expenses: The hospital will provide a detailed list of hospitalization expenses, which lists all expenses incurred during your hospitalization, including medicine expenses, examination expenses, operation expenses, etc. This list is also an important basis for the Social Security Bureau to review and reimburse.

3. Personal identification: you need to carry valid personal identification, such as ID card and passport, to prove your identity and personal information.

4. Social Security Card: If you have already applied for a social security card, you need to carry it with you, because the information on the social security card will be checked with your hospitalization reimbursement record.

5. Medical insurance certificate: You need to provide relevant medical insurance certificates, such as social security payment certificate and medical insurance card, to prove that you have participated in medical insurance and are eligible for reimbursement.

6. Other relevant materials: According to the requirements of different regions and medical insurance systems, other materials may be needed, such as hospitalization certificate, doctor's diagnosis certificate, operation record, etc. Please consult the local social security bureau or hospital before handling the specific requirements.

Social security hospitalization medical reimbursement process:

1. When entering or leaving the hospital, you must go through the registration formalities with the medical insurance IC card at the medical insurance management window of each designated medical institution. Personal hospitalization should pay 2000 yuan in advance for medical expenses, and make up for it more or less after discharge. The medical expenses incurred before the hospitalization registration formalities shall not be included in the payment scope of basic medical insurance. If the emergency hospitalization fails to go through the hospitalization registration formalities in time, it should go through the hospitalization formalities at the medical insurance management window with the emergency certificate on the day after admission (holidays will be postponed). If it exceeds the time limit, the medical expenses shall be borne by itself.

2. After the insured is hospitalized, the deductible line of the overall fund is divided into three grades: tertiary hospital 1000 yuan, secondary hospital 600 yuan, and primary hospital 400 yuan. In a basic medical insurance settlement year, the medical expenses for multiple hospitalizations are calculated cumulatively.

3, the insured due to illness need referral (hospitalization), shall be approved by the designated medical institutions (three or more) deputy chief physician or chief physician diagnosis put forward referral (hospitalization) opinions, by the unit to fill in the application form, after the approval of the designated medical institutions medical insurance management department reported to the municipal (District) social security institutions for referral (hospitalization) procedures. The transfer is limited to provincial specialized hospitals, and the expenses are paid by me first. The reimbursement standard is 10% first, and then the reimbursable amount is calculated according to local regulations.

4. When the designated medical institutions are discharged from the hospital, the reimbursement amount and the amount payable by individuals shall be calculated by the designated medical institutions, and the reimbursement amount shall be settled by the designated medical institutions and urban social insurance agencies, and the amount payable by individuals shall be settled by the designated medical institutions and the insured.

To sum up, the specific reimbursement process and the list of materials reimbursed by the Insurance Regulatory Bureau may be different due to different regions and medical insurance policies. It is suggested that you consult the social security bureau or the hospital in advance before handling it, so as to ensure that you can successfully prepare all the materials needed for reimbursement of hospitalization expenses.

Legal basis:

People's Republic of China (PRC) social insurance law

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The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 4

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.