What does the Social Security Bureau need for reimbursement?

It costs a lot of money to see a doctor in a hospital, especially for a serious illness. At this time, medical insurance can be used for reimbursement, which can save a lot of money and reduce people's burden of seeing a doctor.

First, how to reimburse hospitalization medical insurance?

If you use the medical insurance card directly to see a doctor, you don't have to reimburse. If it is hospitalization reimbursement, first register hospitalization with social security card, and then submit it to the Social Security Bureau for approval by the permanent representative of the hospital. After the audit is passed, you can directly use the social security card to leave the hospital.

Proportion of social security card reimbursement for medical treatment:

First, the use of special medical materials or disposable medical materials with a unit price of more than/kloc-0,000 yuan, as well as the installation and replacement of artificial organs, shall be paid by the basic medical insurance pooling fund at 90% of the domestic general price;

Second, 90% of the basic medical expenses for outpatient dialysis of chronic renal failure, outpatient anti-rejection drugs after organ transplantation, outpatient chemotherapy, radiotherapy, interventional therapy or radionuclide therapy will be paid by the basic medical insurance pooling fund.

Second, how to see a doctor to fully enjoy the medical insurance reimbursement policy?

1, go to the designated hospital to see a doctor;

2. The reimbursement rate of small hospitals is high;

3. Don't miss the reimbursement time limit;

4. Drugs with the same efficacy should follow the medical insurance catalogue;

5. Don't forget to supplement medical insurance reimbursement with six insurances and one gold;

6. Special disease clinics can be reimbursed according to hospitalization;

7. The elderly can also be reimbursed for moving to see a doctor in different places;

8. Personal medical insurance accounts may have unexpected surprises.

3. What are the reimbursement scope of medical insurance?

1, reimbursement of basic medical insurance drugs. Class A and B drugs included in the basic medical insurance coverage can be reimbursed. Among them, Class A drugs refer to drugs that can basically meet the basic clinical needs. Class B drugs are included in the scope of basic medical insurance payment after the employees pay a certain percentage of the expenses, and the expenses are generally paid according to the basic medical insurance payment standard.

2, the basic medical insurance treatment project reimbursement. The scope of basic medical insurance payment items must be determined in accordance with the scope of basic medical insurance diagnosis and treatment items stipulated by the state. The diagnosis and treatment items that are part of the expenses paid by the basic medical insurance can be paid by the insured in advance and then paid in accordance with the provisions of the basic medical insurance.

Among them, the basic medical insurance diagnosis and treatment project must meet the following conditions: (1) designated medical institutions provide designated medical services for the insured; (2) The charging standard is stipulated by the price part; (3) Clinical diagnosis and treatment projects must be safe, effective and reasonable in cost.

3. Reimbursement of basic medical service facilities. The reimbursement scope of medical service facilities of basic medical insurance covers the service facilities that the insured person must live in during the process of diagnosis and treatment, including bed fees for outpatient and emergency observation and bed fees for hospitalization. For some referral transportation expenses, emergency transportation expenses, infant incubator expenses, food incubator expenses, nursing expenses and escort expenses, the basic medical insurance fund cannot reimburse them.