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Can I pay social security for reimbursement after my illness?
1, continuous payment meets local medical insurance reimbursement standards, and hospitalization can be reimbursed. You can't just buy it. Need to contact and pay for more than 3 months.
2. If there is a medical insurance card, general clinics and designated pharmacies can buy medicines by swiping their cards (provided that there is money in the card, and the money in the card is the part shared by individuals and units);
3. For common diseases that require hospitalization, the expenses after the related expenses exceed the deductible point can be reimbursed;
4. If you purchase other medical insurance for serious illness, you can apply for reimbursement of medical insurance for serious illness according to the rest after general medical reimbursement;
5. The detailed and specific regulations are similar everywhere. Please consult the local social security agency for details.
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, standards of medical service facilities and medical expenses for emergency rescue, and shall be paid from the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(3) borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.
Medical institutions shall provide reasonable and necessary medical services for the insured.
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