Social Security Card Reimbursement Process after Hospitalization

Legal analysis: 1. When hospitalized, I will pay the hospitalization deposit in the inpatient department with my identity certificate and the doctor's admission arrangement. When you arrive at the ward, you should give the medical insurance card to the nurse service desk. Then the hospital will ask you to pay for drugs, equipment and other expenses that cannot be reimbursed during the examination and treatment, such as not participating in insurance, cash settlement, and insufficient hospitalization deposit.

2. All hospitals have medical insurance offices, which are responsible for informing patients about the medical insurance process and stamping. Under the guidance of relevant personnel, inpatient medical records, discharge summary, diagnosis certificate and other materials will be copied in the inpatient ward first, which is easier than copying in the hospital archives when discharged.

3. If it is because of accidental hospitalization, doctors need to indicate whether it is accidental injury or other reasons in the arrangement of hospitalization medical records, and issue an injury certificate to the community where they live, indicating that there is no third-party compensation.

4. When going through the discharge formalities, the inpatient department will issue a list of expenses after clearing the accounts, and take this list and a copy of the ward information to the medical insurance center for handling. After the preliminary examination, if the information is incomplete, it needs to be reissued, and then you can receive the audit notice after 5 working days.

5. After receiving the call from the medical insurance center, you need to go to the hospital to settle the bill again, deduct the reimbursement from the original hospitalization deposit, and return it to the inpatients together with the balance of hospitalization expenses.

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

Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask 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.

Fifth people's governments at or above the county level shall incorporate social insurance into the national economic and social development plan.

The state raises social insurance funds through multiple channels. People's governments at or above the county level shall give necessary financial support to social insurance.

The state supports social insurance through preferential tax policies.