Which department is reimbursed for medical insurance?

Medical insurance reimbursement is in the local social security bureau or medical insurance bureau. You should bring hospitalization records, discharge records, identity certificates and other materials to the relevant institutions and departments for processing. The process of medical insurance reimbursement is to report to the Social Insurance Fund Administration with relevant materials and wait for the approval before reimbursement.

First, which department reimbursed the medical insurance?

Medical insurance reimbursement is reimbursed by the local social security bureau or the medical insurance bureau. Social medical insurance participants can directly use the medical insurance card for reimbursement in the hospital, or go to the local social security institution or medical insurance bureau for reimbursement. If it is the latter, the insured should bring hospitalization records, discharge records, identity certificates, invoices, expense lists and other materials to the window of relevant institutions for reimbursement.

Second, the medical insurance reimbursement process

1. The agent submits the reimbursement documents and other materials, and then reports them to the Social Insurance Fund Administration;

2. After receiving the application materials, the accepting department shall complete the examination, settlement and payment on the same day;

3. After the Social Insurance Fund Administration has reviewed the materials and approved the application, the applicant will receive the "Social Medical Insurance Medical Expense Reimbursement Form" and be reimbursed.

Note: If the application materials are incomplete and all contents need to be corrected, the applicant shall correct the materials within 5 days from the date of receiving the Notice of Corrected Materials. If no correction is made within the time limit, the application shall be deemed to have been withdrawn. However, after the materials are corrected, the applicant may reapply within the statutory validity period. The applicant shall be reimbursed after receiving the Social Medical Insurance Medical Expense Reimbursement Form.

3. Is there a time limit for medical insurance reimbursement?

In principle, the medical expenses incurred in that year must be settled before the end of the following year 1. Remind you that 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.

Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by 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.