How to report the medical insurance hospitalization of Tianjin employees

The hospitalization reimbursement process of Tianjin employee medical insurance is as follows:

1. Outpatient medical treatment: You can pay by credit card and personal medical insurance account.

2. Hospitalization: When you are sick and need hospitalization, you need to go through hospitalization procedures first, and then carry out systematic treatment according to your illness and doctor's advice. After the treatment, submit the relevant materials to the local social security center for reimbursement.

3. Referral and transfer: If referral and transfer are required, proof of referral and transfer shall be provided and reimbursed at the local social security center.

4. Medical treatment in different places: if you need medical treatment in different places, you need to go to the local social security center for filing in advance, and then submit the relevant materials to the local social security center for reimbursement after treatment.

Medical insurance reimbursement conditions:

1, the insured must meet the requirements of the national medical insurance, that is, pay the corresponding medical insurance fees under the national medical insurance system;

2, medical expenses must comply with the provisions of the national medical insurance medical service directory, including drugs, treatment items, inspection items, surgical items, etc. ;

3. Medical expenses must be consumed in medical institutions designated by medical insurance, that is to say, the insured can only enjoy medical insurance reimbursement services in medical institutions designated by medical insurance;

4. Medical expenses must be submitted for medical insurance reimbursement within the specified time. It is generally required to submit an application within a certain period of time after seeing a doctor;

5. The balance of the insured person's personal account must be sufficient, otherwise the medical insurance reimbursement service cannot be enjoyed.

To sum up, the replacement process of medical insurance card may be different in different regions and different types of medical insurance, and the specific replacement process needs to be determined according to local actual conditions and policies.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

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 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.