How to reimburse medical insurance for medical treatment in different places

The reimbursement process of medical insurance in different places is as follows:

1. Direct settlement of medical institutions in different places: you can go to medical institutions in different places and reimburse them at the local medical insurance window. I need to provide my valid ID card and social security card, and make reimbursement according to the local medical insurance policy.

2. Advance the expenses first and then submit the local reimbursement: If the medical treatment in different places cannot be directly settled, you can advance the relevant expenses first and then submit them to the local medical insurance window for reimbursement.

Medical insurance reimbursement conditions:

1, participation status: reimbursement for medical insurance in different places is only applicable to those who participate in medical insurance systems such as urban workers' basic medical insurance, urban and rural residents' basic medical insurance and new rural cooperative medical care;

2. Payment record: when applying for reimbursement in different places, the applicant must have paid the medical insurance fee and meet the requirements of payment time and standard;

3. Reimbursement scope: policies such as reimbursement scope and reimbursement ratio of medical insurance in different places shall be subject to the relevant policies and regulations of the insured place. It should be noted that medical insurance reimbursement policies may be different in different regions, and applicants need to handle them according to local policies and regulations;

4. Hospital selection: When seeking medical treatment in different places, the applicant must choose a designated medical institution for medical insurance, otherwise he will not be able to enjoy medical insurance reimbursement;

5. Reimbursement application materials: Applicants need to prepare complete reimbursement application materials, including medical bills, expense lists, medical treatment certificates in different places, and reimbursement application forms.

To sum up, before seeing a doctor in a different place, it is recommended to know the local medical insurance policies and reimbursement methods in advance to avoid affecting reimbursement because you are not familiar with the regulations. At the same time, when you see a doctor in a medical institution, you also need to take the initiative to inform yourself of your medical insurance participation and reimburse you according to regulations.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.