Where can I apply for medical reimbursement?

Medical insurance reimbursement needs to go to the social security bureau or the medical insurance bureau. The insured can directly use the medical insurance card to reimburse in the hospital, or bring relevant information to the window of the local institution for reimbursement.

Medical insurance reimbursement location: medical insurance needs to be reimbursed by the local social security bureau or 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.

The medical insurance reimbursement process is as follows:

1. After the insured is out of danger, he shall promptly notify the insurance company to report the case;

2. To prepare reimbursement materials according to the regulations of the insurance company, it is generally necessary to prepare the insured's ID card, bank card, outpatient medical record book, outpatient invoice, disease diagnosis book, total invoice of hospitalization expenses, total list of hospitalization expenses, medical insurance statement, discharge record and other materials. If it is an accidental injury, it is generally necessary to prove the accident;

3. After the insured is discharged from the hospital, the reimbursement materials will be submitted to the insurance company, and after the insurance company has passed the examination, the reimbursement will be credited to the bank account designated by the insured.

To sum up, if the medical insurance has the function of paying in advance, then the insured can apply to the insurance company to advance the relevant medical expenses when he is hospitalized, and then submit the reimbursement materials after the insured leaves the hospital, and the insurance company will deduct the amount that has been advanced with the reimbursement.

Legal basis:

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

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

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.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

1, which shall be paid from the industrial injury insurance fund;

2, should be borne by a third person;

3, should be borne by public health;

4. Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.