The reimbursement process of medical insurance in different places in Zhengzhou

Legal analysis: Insured persons with medical insurance cards can purchase medicines at designated medical institutions and retail pharmacies, and their medical expenses can be settled directly by credit card. When purchasing drugs, they are not included in the overall social planning, and all of them are paid by personal accounts. If the personal account runs out of funds, you can pay in cash. The following information must be brought when submitting the reimbursement form: 1. Original ID card or social security card; 2. The original disease diagnosis certificate issued by the designated medical institution; 3. Outpatient medical records, inspection, test results report and other medical materials; 4. Original receipt of outpatient charges of medical institutions with unified finance and taxation; 5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors; 6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods; 7. If it is an agent, you need to provide the original ID card of the agent.

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

Article 27? Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 28? 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.