Conditions and scope of social security reimbursement

Social security reimbursement usually needs to meet the following conditions: first, it must be a person who has participated in social security and paid the corresponding fees; Secondly, the reimbursement items must be within the scope of social security, such as medical care, maternity, work injury, unemployment and so on. Finally, you need to provide relevant certificates and materials, such as invoices or medical records.

Social security reimbursement means that people who meet certain conditions apply to the social insurance fund for reimbursement of medical expenses, maternity, work-related injuries, unemployment and other expenses. The specific conditions and scope vary according to regional policies and insurance types. Generally speaking, the reimbursement conditions include: 1) having participated in social security and paying corresponding fees; 2) Reimbursement items must be within the scope of social security; 3) Relevant certificates and materials need to be provided. Taking medical reimbursement as an example, hospitals are generally required to issue formal invoices and detailed lists, and patients need to provide ID cards, social security cards, hospital medical records and other supporting materials. Different regions and different types of insurance have different reimbursement proportions, restrictions and specific reimbursement items. Therefore, when using social security, you need to read the local policy documents carefully and understand the specific requirements.

Does the social security reimbursement cover all medical expenses? No, social security reimbursement only covers medical care, maternity, work injury, unemployment and other expenses that meet the relevant social security policies. For example, cosmetic surgery and other items that belong to personal consumption behavior are generally not covered by social security reimbursement.

Social security reimbursement is an important part of the social security system, which is conducive to reducing the medical burden of patients and improving the level of medical services. However, the specific policies of different regions and different types of insurance are different. Before use, it is necessary to carefully understand the local regulations and provide corresponding certification materials.

Legal basis:

"Social Insurance Law of People's Republic of China (PRC)" Article 49 Those who participate in the basic medical insurance for urban workers shall pay a certain proportion of medical expenses by themselves, and the rest shall be paid by the basic medical insurance fund.