Job Recruitment Website - Social security inquiry - Where can I make a medical insurance statement?
Where can I make a medical insurance statement?
The medical insurance statement refers to the list of materials submitted by the designated medical institutions for medical insurance to apply for fee settlement to the medical insurance department after carrying out medical services such as hospitalization and outpatient service.
Medical insurance reimbursement conditions:
1. Participate in medical insurance: Only those who participate in medical insurance and pay medical insurance fees can enjoy medical insurance reimbursement;
2. Designated medical care: medical insurance stipulates designated medical institutions, and only patients who seek medical treatment in designated medical insurance can enjoy medical insurance reimbursement;
3. Reimbursement scope: medical insurance stipulates the scope of reimbursement, and only medical expenses within the scope of medical insurance can apply for medical insurance reimbursement;
4. Reimbursement ratio: medical insurance stipulates the reimbursement ratio of different medical expenses, and patients need to pay a certain fee according to the proportion stipulated by medical insurance;
5. Reimbursement limit: Medical insurance stipulates the reimbursement limit of different medical expenses, and the expenses exceeding the limit need to be paid by patients themselves;
6. Reimbursement application materials: the application materials required to apply for medical insurance reimbursement according to medical insurance regulations, including medical bills, expense lists, diagnosis certificates, etc.
To sum up, when applying for medical insurance reimbursement, you need to prepare complete reimbursement application materials, including medical bills, expense lists, medical insurance cards, etc. , and apply within the specified time. If you need to submit an expense account in different places, you also need corresponding supporting materials.
Legal basis:
People's Republic of China (PRC) social insurance law
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.
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