How to reimburse social security and medical insurance reimbursement?

Legal analysis: reimbursement according to local regulations

Legal basis: reimbursement scope of medical insurance drugs for employees in Zhenjiang 1. The medical expenses incurred by the insured employees on business trips or visiting relatives in other places are only reimbursed for emergency expenses in other places that meet the requirements of medical insurance, and all expenses are not reimbursed for non-emergency hospitalization.

2, the insured workers living in the field for more than 6 months, according to the nature of long-term living in the field of medical expenses.

3, long-term residents should provide proof by the unit, determine the secondary designated hospitals (should be designated medical institutions for local medical insurance), and timely handle the "Zhenjiang long-term residents medical expenses reimbursement card".

4. Employees who live in other places for a long time must adhere to the principle of economy and prescribe drugs in a limited amount according to regulations (the acute dosage is within 3 days, the chronic dosage is within 10 days, and the dosage of tuberculosis, hypertension and diabetes can be extended to 30 days). Those who exceed the above standards will not be reimbursed for medicine.

5, long-term resident workers referral, signed by the local designated hospitals, according to the principle of territoriality referral step by step. Referral hospital is a special hospital determined by medical insurance for employees in our city. The individual pays 65438+ 00% of the total expenses first, and then reimburses the expenses according to the medical insurance regulations; In other hospitals, individuals pay 20% of the total expenses first, and then reimburse medical expenses according to medical insurance regulations.