How to reimburse medical insurance without a social security card?

When applying for reimbursement without a medical insurance card, you need to bring the hospital's total consumption list, doctor's advice certificate, medical records and other materials. You can see a doctor first, and then go to the medical insurance center for manual reimbursement.

Reimbursement of medical insurance without a medical insurance card requires the following conditions: Reimbursement conditions: medical insurance must be paid continuously for more than three months, and it will take effect in the fourth month before the related medical expenses can be reimbursed.

After the medical insurance comes into effect, the company can go to the local social security department to apply for a medical card without hospitalization certificate. If the medical insurance card is not received, individuals can also apply for reimbursement of medical expenses after hospitalization. Individuals can submit relevant materials to their medical insurance center for reimbursement. Under normal circumstances, if an individual does not receive a medical insurance card, he can apply for a temporary medical card at the medical insurance center to facilitate medical treatment.

Materials required for reimbursement: when applying for reimbursement, bring the general consumption list, doctor's advice certificate, medical records and other materials of the hospital. You can see a doctor first, and then go to the medical insurance center for manual reimbursement. Reimbursement expenses will be directly credited to the designated bank card.

Reimbursement scope:

1. The reimbursement of medical insurance card is limited to the medical expenses above hospitalization in the re-designated hospital due to illness and some accidents. The reimbursement formula is: (total expenses-threshold expenses-self-paid expenses) *(75+ age *0.2)% Under normal circumstances, the actual reimbursement ratio is between 20% and 60%. Self-funded * no reimbursement, 80% reimbursement for products of Class B *. Bed fees are limited, and some inspection fees and medical treatment fees are not reimbursed according to regulations.

2. The reimbursement amount of medical insurance card is 4 times of the local social wage (1 year cumulative value).

3. The money in the medical insurance card can be used to buy medicines at designated pharmacies and pay for outpatient and emergency expenses, but it does not belong to the category of reimbursement, because the money in the medical insurance card is the money in the medical insurance personal account.

legal ground

Article 23 of the Social Insurance Law of People's Republic of China (PRC), employees shall participate in the basic medical insurance for employees, and the employer and employees shall jointly pay the basic medical insurance premium according to the provisions of the state. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

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