Job Recruitment Website - Social security inquiry - Can the emergency department be reimbursed?

Can the emergency department be reimbursed?

Emergency can be reimbursed. Emergency medical treatment, as long as the hospital is a designated hospital for medical insurance, the treatment items are within the scope of medical insurance reimbursement, the expenses after outpatient treatment reach the deductible line, and the hospitalization expenses for follow-up hospitalization observation can be reimbursed according to local medical insurance regulations. The emergency expenses incurred by the insured in the designated medical insurance institutions shall be included in the general outpatient department for overall settlement and reimbursement after being audited by the medical insurance management department of the designated medical institutions. However, the emergency medical expenses of designated medical institutions incurred by the insured in the general outpatient service of non-medical insurance designated institutions shall not be paid.

If you bring a medical insurance card when you see a doctor, you can use it to register for medical treatment. Can be directly bound to the medical insurance system. When the hospital calculates and pays the expenses, it can settle the medical insurance in real time, and only need to pay the corresponding expenses after deduction; If you don't bring a social security card when you see a doctor, you can only reimburse offline after seeing a doctor. Offline insurance is generally provided. Users carry relevant materials with them, go to the local social security center, fill in the information as required, and submit it. After approval, the reimbursement amount will be automatically allocated to the bank card account bound by medical insurance.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).

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.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.