How to reimburse employee medical insurance for the second time?

The second reimbursement process of employee medical insurance is as follows:

1. basic medical insurance reimbursement, that is, going to the local medical insurance center or social security card service station.

2. While reimbursing the basic medical insurance, you need to keep all medical bills and receipts.

3. According to the requirements of the purchased commercial insurance, sort out and file all medical bills and receipts for the second reimbursement of commercial insurance.

4. Apply for the second reimbursement from the commercial insurance company according to the requirements of the purchased commercial insurance. All medical bills and receipts, as well as relevant insurance policies and identification documents, need to be provided when applying.

5. The commercial insurance company shall reimburse the expenses that meet the requirements after the audit. Generally, the reimbursement amount will not exceed the limit of the insured amount and reimbursement ratio of commercial insurance.

Conditions for reimbursement of medical insurance in different places:

1, participation status: reimbursement for medical insurance in different places is only applicable to those who participate in medical insurance systems such as urban workers' basic medical insurance, urban and rural residents' basic medical insurance and new rural cooperative medical care;

2. Payment record: when applying for reimbursement in different places, the applicant must have paid the medical insurance fee and meet the requirements of payment time and standard;

3. Reimbursement scope: policies such as reimbursement scope and reimbursement ratio of medical insurance in different places shall be subject to the relevant policies and regulations of the insured place. It should be noted that medical insurance reimbursement policies may be different in different regions, and applicants need to handle them according to local policies and regulations;

4. Hospital selection: When seeking medical treatment in different places, the applicant must choose a designated medical institution for medical insurance, otherwise he will not be able to enjoy medical insurance reimbursement;

5. Reimbursement application materials: Applicants need to prepare complete reimbursement application materials, including medical bills, expense lists, medical treatment certificates in different places, and reimbursement application forms.

To sum up, the reimbursement ratio and scope of medical insurance reimbursement may be different in different places. Generally speaking, the reimbursement rate of medical insurance reimbursement in different places may be lower than that of local medical insurance reimbursement. Please consult the local medical insurance department for details.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.