Beijing social security reimbursement flow chart

Social security reimbursement refers to the behavior of social insurance to compensate employees and residents for medical expenses, maternity expenses and work-related injury treatment expenses in proportion. Social security reimbursement mainly includes maternity insurance reimbursement and work-related injury insurance reimbursement. The reimbursement methods of social medical insurance vary from place to place.

Social security reimbursement process:

First, go to the public hospital designated by the medical insurance → you must register with the medical insurance office of the hospital within three working days → when you leave the hospital, open an application form, invoice, detailed list and medical record in the medical insurance office.

If it is a trauma, you should also fill in the trauma form in the hospital medical insurance office and affix the official seal of the hospital where you live and the official seal of the insured unit, write down everyone's situation, and explain or prove the situation of the insured unit → submit an expense account to the office on the second floor of the Social Labor and Social Security Bureau. The original of the above materials is required when the medical insurance for urban residents is reimbursed. If you need commercial insurance reimbursement, please copy all the above materials and affix the seal of the commercial insurance hospital.

If there is a new rural cooperative medical system, it cannot be reported at the same time as urban residents' medical insurance, and both can only be reported in one place.

Commercial insurance, first reported to the urban residents' medical insurance, and then reported to the commercial insurance; Those who apply for commercial insurance first will not be reimbursed for medical insurance for urban residents.

Second, the medical insurance reimbursement process for hospitalization for different reasons:

1. Sick hospitalization: Within three days of hospitalization, go to the hospital medical insurance office for medical insurance networking procedures with valid documents such as medical insurance card or ID card and household registration book, and go directly to the hospital medical insurance office for settlement procedures when leaving the hospital.

2. Injury hospitalization: Within three days of hospitalization, you should go to the hospital medical insurance office to go through the medical insurance networking procedures with valid documents such as medical insurance card or ID card and household registration book. After the investigation by the inspection department of the municipal (district) medical insurance office, those who meet the conditions for medical insurance reimbursement will go directly to the hospital medical insurance office for settlement when they leave the hospital;

If the investigation is unclear or disagrees, after discharge, bring all documents such as medical records, invoices, statements, and copies of my CCB passbook to the Municipal Medical Insurance Office for investigation, and then submit them to the urban residents' medical insurance management department for reimbursement.

3. Outpatient accidental injury: After the treatment, bring all documents such as outpatient medical records, invoices and copies of my CCB passbook to the municipal medical insurance office for investigation, and then submit them to the urban residents' medical insurance management department for reimbursement.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.