Shenzhen medical insurance seeks medical treatment in different places

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

1. Application for filing: the patient applies for filing in the social security agency, or files and declares through the website;

2. Submit materials: provide ID card, social security card, medical insurance card, diagnosis certificate, medical record, hospitalization invoice and other related materials;

3. Review and filing: the handling agency reviews the application and registers it on the social security card;

4. Reimbursement for medical treatment: After medical treatment, the patient shall go through the reimbursement procedures with his social security card and hospitalization invoice.

Reimbursement scope of medical insurance:

1. outpatient expenses: including registration fees, medical treatment fees, examination fees, laboratory tests fees, treatment fees, operation fees, medicine fees, etc.

2. Hospitalization expenses: including bed fee, nursing fee, operation fee, examination fee, treatment fee, medicine fee, etc. During hospitalization;

3. Special disease expenses: For special diseases, medical insurance may provide additional reimbursement ratio or limit;

4. Chronic disease expenses: patients with chronic diseases can enjoy medical insurance reimbursement when they buy medicines or receive treatment in the prescribed medical institutions;

5. Vaccination expenses: Medical insurance policies in some areas may include reimbursement of necessary vaccination expenses.

6. Maternity expenses: maternity medical expenses that meet the policy, including birth check-up, delivery, etc. , can be reimbursed according to regulations.

7. Emergency expenses: Medical insurance also has corresponding reimbursement policies for emergency expenses, such as emergency and rescue.

The above reimbursement scope is usually limited by policies, and the specific reimbursement ratio and limit should refer to the local medical insurance policy.

To sum up, the reimbursement process of Shenzhen medical insurance for medical treatment in different places includes applying for filing, submitting ID cards, medical insurance cards and other related materials, reviewing and registering by the agency, and reimbursing patients with social security cards and hospitalization invoices after medical treatment.

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.