How to reimburse social security for medical treatment

First, the reimbursement process of using social security card to see a doctor:

1, the insured person will get the prescription after seeing the disease with the social security card;

2. The insured person goes to the outpatient clinic with the registration form, and the doctor registers the insurance card at the registration office;

3. After the insured person takes the prescription to the hospital settlement window for pricing, he directly swipes the social security card to pay the medical expenses within the payment scope of the medical insurance fund;

4, prescription does not belong to the scope of medical insurance fund to pay drugs, pay cash to the insured.

Second, the social security card to the hospital reimbursement process is as follows:

1. First of all, when the insured person goes to see a doctor, he will write a prescription to pay the fee after seeing a doctor with a social security card.

2. The insured person goes to the outpatient clinic with the registration form, and the doctor registers the insurance card at the registration office;

3. After the insured person takes the prescription to the hospital settlement window for pricing, he can directly brush the social security card to pay the medical expenses within the scope of medical insurance fund payment;

4. If some drugs in the prescription are not covered by the medical insurance fund, the insured needs to pay cash.

Third, the social security card replacement process:

1. Report the loss in advance. There are two forms to report the loss of social security cards, one is oral report and the other is written report. Report the loss in writing: you can report the loss in advance in writing at the social security card service network with the original resident ID card or household registration book. The loss reporting formalities are completed and the loss reporting will take effect immediately. Oral loss reporting: the cardholder can call the service number of the issuing bank;

2. Get a new card. After pre-reporting the loss, you can go through the formalities of officially reporting the loss and replacing the new card. You can entrust others to apply for a replacement card. When handling, you need to show the original and photocopy of the ID cards of the client and the client. After filling out the application form, the staff of the social security card service outlets will handle it. At this point, the staff will issue a "card certificate". If you get sick during the card replacement, you can go to the designated hospital for medical treatment with your card, and keep the prescription details and charging documents for reimbursement according to the manual process;

3. Get a new card. 15 After completing the card replacement procedures for new cards, the card changer can collect a new card at the social security card service outlets with his/her ID card and card collection certificate. The first issuance of social security cards is free. Due to theft, loss, damage and other reasons to replace the social security card, charge an appropriate fee.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 2 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 in case of old age, illness, industrial injury, unemployment and maternity.