Shenzhen Medical Insurance Reimbursement Process

The reimbursement process of Shenzhen medical insurance is as follows:

1. Application materials submitted by the applicant: the place of submission is the medical insurance section of each social security branch of the Social Insurance Fund Administration where the insured is located.

2. The Social Insurance Fund Administration accepts the application: the accepting department shall examine the application materials within 5 days from the date of receiving them and decide whether to accept them.

3. Completion of application: The Social Insurance Fund Administration will review the materials and approve the application, and the applicant will be reimbursed after receiving the Social Medical Insurance Medical Expense Reimbursement Form.

Medical insurance reimbursement materials:

1, medical insurance card: hold a valid medical insurance card;

2. Medical records: medical records are needed, including the department, date, diagnosis result and treatment plan.

3. Prescription note: the original and photocopy of the prescription note are required, including the name, dosage, usage and time of use of the drug;

4. Receipt: the original and photocopy of the receipt for drug purchase or treatment expenses shall be provided, including the name, quantity, unit price and amount of the drug;

5. Hospitalization records: In case of hospitalization, hospitalization records, discharge summary and other hospitalization records shall be provided;

6. Other relevant materials: such as outpatient medical bills, inpatient medical bills, inspection reports issued by hospitals, laboratory tests, etc.

To sum up, the medical insurance reimbursement process may be slightly different in different regions, and the specific operation steps can be adjusted according to local policies and actual conditions.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

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.

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The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.

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.