Medical insurance reimbursement time

Legal analysis: medical reimbursement is time-limited, and should be reimbursed within half a year after diagnosis and treatment, usually in the second half of the year and the second half of the previous year. If you are reimbursed in time when you leave the hospital, the proportion of not being reimbursed in other places when you leave the hospital is different. At present, medical insurance in many areas is settled and reimbursed in real time. When the patient leaves the hospital, the medical expenses are directly offset. After the medical insurance reimbursement, the individual only needs to pay the part that should be paid by the individual, so if it is real-time settlement reimbursement, then you don't have to consider the reimbursement time limit at all. Of course, there will be some special circumstances that require the insured to pay the medical expenses in full, and then hand over the relevant bills to the unit or social security office for manual reimbursement (sporadic reimbursement). Manual reimbursement of medical insurance has a time limit, usually one year.

That is to say, within one year after discharge, it is ok to go to a designated institution to reimburse medical insurance expenses. Once it has not been reimbursed for more than one year, it can no longer be reimbursed. Moreover, according to the regulations, the medical expenses of that year were reimbursed in the same year, and it is not allowed to be reimbursed every other year.

But the policies in each region are different. For example, last year, affected by the epidemic, the time limit for medical insurance reimbursement in Hebei Province was extended to half a year after the epidemic. It is suggested that small partners who use manual reimbursement and sporadic reimbursement should pay attention to local reimbursement policies in advance, arrange materials in time, and complete reimbursement within the reimbursement time limit.

Legal basis: Article 20 of the Labor Law of People's Republic of China (PRC), the state develops social insurance, establishes social insurance system and social insurance fund, so that workers can get help and compensation when they are old, sick, injured at work, unemployed and have children.