How to reimburse Chengdu social security card

Individuals begin to enjoy medical insurance benefits after six months of continuous payment for the first time.

Unemployed persons who participate in (continue) medical insurance during the period of receiving unemployment insurance benefits or within 60 days after receiving unemployment insurance benefits shall enjoy medical insurance benefits from the month following the payment.

Second, the handling of materials:

Reimbursement of hospitalization expenses in designated medical institutions:

1. Summary of overall payment of hospitalization expenses;

2. Statement on overall payment of hospitalization expenses (the hospital must build official seal);

3. Hospitals that are not connected to the Internet must open special accounting forms, and hospitals connected to the Internet must open special accounting forms under special circumstances;

4. Special bills for hospitalization fees supervised or supervised by financial and tax departments;

5. List of expenses signed and approved by patients or their families;

6. Chinese medicine compound;

7. Proof of discharge conditions.

Third, the handling process:

1. The agent submits the reimbursement documents and other materials to the Dark Grey Insurance Fund Administration for acceptance;

2. After receiving the application materials, the accepting department shall complete the examination, settlement and payment on the same day;

3. After the Social Insurance Fund Administration has reviewed the materials and approved the application, the applicant will receive the "Social Medical Insurance Medical Expense Reimbursement Form" and be reimbursed.

Note: If the application materials are incomplete and all contents need to be corrected, the applicant shall correct the materials within 5 days from the date of receiving the Notice of Corrected Materials. If no correction is made within the time limit, the application shall be deemed to have been withdrawn.

However, after the materials are corrected, the applicant may reapply within the statutory validity period. The applicant shall be reimbursed after receiving the Social Medical Insurance Medical Expense Reimbursement Form.

Fourth, the reimbursement ratio:

Reimbursement ratio of urban medical insurance:

92% in first-class hospitals, 90% in second-class hospitals and 85% in third-class hospitals, with an increase of 2% at the age of 50, 4% at the age of 60, 89% at the age of 60 (third-class), 6% at the age of 70 and 8% at the age of 80, with the same increase rate, not exceeding 100%.

Proportion of medical insurance reimbursement for urban and rural residents:

Grade payment hospital level 1, level 2 and level 3.

First gear 100 65% 60% 55% 35%

Second gear 200 90% 80% 65% 50%

Third gear 300 90% 85% 80% 65%

Student 120 90% 80% 65% 50%

Provincial medical insurance reimbursement ratio:

On the basis of the payment ratio formula (age *0.2+75)÷ 100, the age of 50-59 will increase by 2%, and the age of 60-69 will increase by 4%. For example, 87%+4% for 60 years old = 91%,6% for 70-79 years old and 80-89 years old.

Verb (abbreviation for verb) addresses:

Chengdu Medical Insurance Management Bureau

Address: Social Security Building, No.4, North Section 1, Second Ring Road, Chengdu

Tel: 028-8770625 1

Urban and Rural Medical Treatment and Work Injury Insurance Department (Chengdu Human Resources and Social Security Bureau)

Address: Building 3, No.366 Jincheng Avenue, High-tech Zone, Chengdu

Tel: 028-6 18882 17.

Telephone number and address of Chengdu Social Security Bureau

Extended data:

The proportion of medical insurance reimbursement in Chengdu is divided into three forms: outpatient service, hospitalization and community service.

Chengdu outpatient reimbursement ratio is:

Reimbursement ratio of first-class hospitals in 200 yuan;

The reimbursement ratio of secondary hospitals is 400 yuan;

The reimbursement ratio of tertiary hospitals is 800 yuan;

The proportion of hospitalization reimbursement is:

The deductible line of the first-class hospital is within 200 yuan, and the reimbursement rate is 92%;

The deductible line of secondary hospitals is within 400 yuan, and the reimbursement rate is 90%;

The deductible line of tertiary hospitals is within 800 yuan, and the reimbursement rate is 85%;

The deductible line of community service center in township hospitals is 160 yuan, and the reimbursement rate is 95%;

In addition, the insured in Chengdu can increase the proportion of medical reimbursement according to their age. For those over 50 years old, the reimbursement rate will be increased by 2%, for those over 60 years old, by 4%, for those over 70 years old, by 6%, for those over 80 years old, by 8% and for those over 90 years old, by 10%.

Chengdu medical insurance reimbursement scope is:

1, which meets the prescribed outpatient expenses, including general outpatient service and outpatient treatment for serious and serious diseases;

2, in accordance with the provisions of the hospitalization expenses;

3. Medical expenses such as drug purchase expenses that meet the three catalogues;

The medical insurance reimbursement process in Chengdu is as follows: 1. Handlers submit materials and accept them; 2. Accept and complete the audit, settlement and payment; 3 social insurance fund management bureau to review the materials and approve the application;

-Consultation channels for issuing social security cards

(1) Chengdu People's Society Telephone Consultation Center: 028- 12333

(2) Portal of Chengdu Human Resources and Social Security Bureau: www.cdhrss.gov.cn.

-Other matters

First, because this work spans a long time, involves a wide range of people and involves the vital interests of the masses, I look forward to getting the understanding, support and cooperation of the masses in data collection.

Second, please don't trust any phone calls, text messages and emails related to social security cards of unknown origin, as well as small advertisements published by illegal organizations or illegal intermediaries. Don't easily disclose important personal information to others to protect the legitimate rights and interests of individuals and the safety of using cards.

References:

People's Daily Online-Chengdu launched a nationwide universal social security card renewal and direct settlement for medical treatment in different places.