How to reimburse Qingdao medical insurance clinic in 2023?

The reimbursement process of medical insurance outpatient service in Qingdao in 2023 is as follows:

1, registered for medical treatment: registered for medical treatment in the hospital, and selected appropriate departments and doctors for diagnosis and treatment;

2. Payment of expenses: in the process of seeing a doctor, pay the corresponding expenses according to the hospital's charging standard. The medical system in some areas supports convenient ways such as mobile payment and self-service payment;

3. Invoice: After seeing a doctor, ask the hospital for an invoice. Please ensure that the information on the invoice is accurate, including the date of medical treatment and the details of expenses;

4. Reimbursement application: Bring invoices and other related materials (such as medical insurance cards and ID cards) to the local social security bureau or medical insurance center for reimbursement procedures. The specific materials required may vary from region to region. Please consult the local authorities for detailed requirements.

5. Review reimbursement: After submitting the reimbursement application, relevant departments will review the information provided by you. After the approval, the medical insurance will directly deduct the corresponding expenses from your bank account or designated payment channel.

Medical insurance reimbursement conditions:

1. Confirm the insured status: before seeking medical treatment, you need to confirm that you have participated in local medical insurance, which can be confirmed by means of social security card and medical insurance certificate;

2. Medical category: Medical insurance generally only reimburses therapeutic medical behaviors, such as outpatient service, hospitalization, surgery and examination. Some cosmetic medical behaviors, such as dental beauty and plastic surgery, are usually not covered by medical insurance reimbursement;

3. Medical expenses: Medical insurance will only reimburse medical expenses that meet the requirements, such as medical expenses, medicine expenses, examination expenses, operation expenses, etc. Personal expenses, medical insurance will not be reimbursed;

4. Hospital qualification: Medical insurance will only reimburse the medical expenses of legally operated medical institutions, such as public hospitals and qualified private hospitals. Medical insurance will not be reimbursed for illegal medical institutions or clinics.

To sum up, the specific operation may vary from country to country, and you can consult the local medical insurance institution or stomatological hospital.

Legal basis:

People's Republic of China (PRC) social insurance law

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.