What are the exemptions for medication outside of medical insurance?

A medical insurance what responsibility exemption

Not included in the basic medical insurance fund to pay for the medical expenses, belong to the scope of medical insurance exemption, including: should be paid from the workers' compensation insurance fund; should be borne by a third party.

Article 30 of the Chinese People's **** and State Social Insurance Law

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

(a) should be paid from the Industrial Injury Insurance Fund;

(b) should be borne by a third party;

(c) should be borne by the public **** health;

(d) outside the country for medical treatment.

Medical expenses should be borne by a third party according to law, the third party does not pay or can not determine the third party, the basic medical insurance fund to pay first. The basic medical insurance fund first paid, the right to recover from the third party.

Two, employee medical insurance outpatient reimbursement application process

1, the original ID card or social security card;

2, the original diagnosis of disease certificate issued by the designated medical institution of the third level or second level of hospital specialists;

3, outpatient medical records, examination, test results report card and other original medical information;

4, financial and tax unified medical institution outpatient medical data;

5, the original medical records, examination, test results report card and other medical data;

6, the original medical records, examination and test results report card;

5, the hospital computer printout of the outpatient cost list or the doctor issued a prescription for the payment of the original;

6, designated pharmacies: tax uniform invoice and computer printout of the original list of sales of goods;

7, such as the proxy for the original identity card of the person who provides the proxy.

Bring all the above information to the relevant departments of the local social security center to apply for the audit, the information is complete, eligible for immediate processing. When the applicant applies for reimbursement of outpatient medical expenses, the amount of money transferred to the individual account of medical insurance in the current social security year will be deducted first, and then the amount of reimbursement will be approved.

Through the above analysis, we know that, according to the provisions of the Social Insurance Law, the employee patients to be treated after the medical expenses can be reimbursed by a certain percentage of medical insurance. The scope of medical insurance exemption includes: should be paid from the workers' compensation insurance fund; should be borne by a third party. If you need legal help, readers can go to the consultation.