How to reimburse medical expenses

Legal analysis: medical insurance cards can only be reimbursed if they are purchased at designated pharmacies. Scope of use: Insured employees buy drugs in pharmacies of designated hospitals with password POS machines for cash withdrawal or transfer. Medical account (medical insurance card) funds are mainly used for the following expenses:

1, basic medical expenses for outpatient and Chinese clinics; 2. The basic medical expenses for specific items of hospitalization and outpatient service shall be paid by the self-paying department; 3, outside the hospital medical insurance designated retail pharmacies should be equipped with basic drugs in medical insurance coverage or purchase basic non-local drugs in medical insurance coverage.

When reimbursing, you must bring the following information:

1, original ID card or social security card 2, original disease diagnosis certificate issued by specialists in designated medical institutions 3, original medical materials such as outpatient medical records, inspection and test results reports 4, original receipt of outpatient expenses of unified financial and taxation medical institutions 5, original list of outpatient expenses printed by hospital computer or original list of payers issued by doctors 6, designated pharmacies: original unified invoice for tax commodity sales and computer printed list 7, if it is handled on behalf of others, the original ID card of the agent is required.

Bring all the above information to the relevant departments of the local social security center. Upon examination, if the information is complete and meets the requirements, it can be handled immediately. When applying for reimbursement of outpatient medical expenses, the applicant should first deduct the amount allocated to the personal account of medical insurance in this social security year, and then verify the amount to be reimbursed.

Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the medical expenses incurred by the insured shall be paid by the basic medical insurance fund and directly settled by social insurance agencies, medical institutions and pharmaceutical trading units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.