What materials are needed for Shanghai medical insurance reimbursement in different places?

According to the relevant regulations of our country, not all medical insurance is paid by the unit, and we also need to pay part of it ourselves according to different proportions.

1. What materials are needed for medical insurance reimbursement in different places?

(1) basic materials. Under normal circumstances, medical insurance reimbursement in different places needs to provide hospitalization medical records, expense lists, original vouchers of medical expenses, proof of discharge conditions (including treatment), medical insurance card, my bank account number (copy), ID card, household registration book, transfer procedures or certificates, valid hospitalization invoices and other materials.

(2) Long-term work in different places. A copy of the valid labor contract signed by the insured and the employer, the medical insurance record book for medical treatment in different places or the certificate of assignment of the unit and related materials (all of which must be stamped with the official seal of the unit), and the business license of the employer.

(3) living in a different place for a long time. If the place of residence is the place of household registration, provide a copy of the relevant household registration certificate; If the residence is a non-registered residence, the original certificate of continuous residence for more than 6 months or a copy of the temporary residence permit issued by the police station, street or neighborhood (village) Committee where the residence belongs shall be provided. For employees who have lived in different places for more than 6 months continuously, the original information statement issued by the unit and a copy of the applicant's ID card are required. If it is entrusted to others, a copy of the client's ID card shall also be provided.

Second, how much can cross-provincial medical reimbursement be reported?

(1) Proportion of reimbursement for emergency and first-aid hospitalization of insured residents: for medical treatment in local tertiary and corresponding medical institutions, the minimum deductible standard for the first hospitalization in the same insurance year is 500 yuan, and the minimum deductible standard for the second and above hospitalization is 250 yuan. The expenses of Class A drugs, general diagnosis and treatment items, general services and general facilities above the minimum deductible line shall be paid by the medical insurance fund, while the expenses of Class B drugs, special diagnosis and treatment items, special services and special facilities above the minimum deductible line shall be paid by the medical insurance fund.

(2) The reimbursement process of medical insurance in different places

1, to receive or download the Application Form for Working and Living in Different Places of the Municipal Basic Medical Insurance (hereinafter referred to as the Application Form) on the social security website;

2, according to the provisions of the fill in, and by the foreign social insurance (medical insurance) agencies stamped "declaration form";

3 will fill out the "declaration form" back to the social insurance agency responsible for the division of labor for review and confirmation. Need to apply for a medical card in different places in the province, with the "declaration form" after examination and confirmation to the municipal social security center audit department for registration, and then to the social security card management department for the card making procedures in different places in the province;

4. The insured person's personal social security card cannot be used after filing; If the insured person returns for medical treatment, he should go to the municipal social security agency for cancellation of medical registration, and his personal social security card can be used in designated medical institutions from the next day;

5. Implement the principle of reporting changes but not reporting.

Third, how long will it take to get the reimbursement for hospitalization in different places?

About 30 days. Procedures for reimbursement of medical treatment in different places: bring patient ID card, two one-inch color photos and new rural cooperative medical certificate to the county joint management office for referral and filing procedures; Bring the patient ID card, certificate of the new rural cooperative medical system, referral filing procedures to the referral hospital for medical treatment, and go through the hospitalization procedures of the new rural cooperative medical system; After discharge, patients submit their ID cards (or household registration books), new rural cooperative medical certificate, copies of medical records, hospitalization statements (some in the form of invoices), hospitalization expenses list and referral filing procedures to the joint management office for reimbursement.

Legal objectivity:

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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. Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the medical expenses incurred by the insured shall be paid by the basic medical insurance fund and directly settled by social insurance agencies, medical institutions and pharmaceutical trading 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.