How to get reimbursed by the medical insurance for college students going home to see a doctor

1, local visit: directly with the medical insurance card in the hospital medical insurance reimbursement window for card settlement reimbursement.

2, the other way around: first of all, you need to make a record of the other way around, to the social security center of the district and county where the health insurance is located for the record, the employee health insurance is based on the location of the work, with my ID card and social security card, fill out the "registration form of the other way around", and then choose the designated hospitals can be reimbursed. If it is outpatient costs in some areas need to advance their own first, and then back to the insured place to reimbursement. The reimbursement rate and scope of reimbursement varies slightly from region to region.

1, college students medical insurance reimbursement process is

1, hospitalization medical expenses first by the individual advance payment, and then after discharge from the hospital with the "urban residents of the city college students medical insurance card", sfz, outpatient medical records, discharge summary, the total list of costs (cost breakdown list), the diagnosis of disease certificates, the valid bills (invoices of the original), the doctor's orders, the first page of the medical case copy of the proof issued by the school, the transfer of the hospital is required to provide a certificate of transfer, trauma, injury, and the hospital is also required to provide a certificate of transfer, and the hospital is also required to provide a certificate of transfer. The certificate of transferring to another hospital, or the relevant certificate issued by the college for trauma treatment, etc. must be provided to the window of the Medical Section of the Service Hall of the Municipal Health Insurance Management Center for review and reimbursement. In different hospitals, to provide different hospitals (as above) materials; in the same hospital according to the hospitalization of different time (before the cost is not written off, such as discharge and then into the same hospital treatment), but also to provide the same different period of hospitalization (as above) materials;

2, (transfer to the outside of the medical treatment) the opening of the settlement function of the card mode: the student himself, or the student's guardian, the entrusted person hospitalized for three days, with the student My ID card, "provincial social security card", hospitalization medical records, disease diagnosis certificate, the college issued a certificate to the city medical insurance center service hall medical department window for;

3, due to emergency rescue hospitalization of non-designated medical institutions to deal with the cost of: in the event of an emergency within 3-5 working days, the first contact by phone or entrusted to another person with a written report to the city medical insurance management center through the college The Student Medical Insurance Management Center will register with the Municipal Medical Insurance Management Center for the record, and the medical expenses will be advanced by the person himself/herself first. Reimbursement will be made to the Municipal Medical Insurance Center according to the above mentioned reimbursement documents. (No reimbursement will be made for treatment at non-medical insurance designated hospitals or clinics)

Legal Basis:

"The Social Insurance Law of the People's Republic of China"

Article 26: The standard of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with the state regulations.

Article 28 Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with the state regulations.

Article 74 The data necessary for the work of social insurance shall be obtained by the social insurance administration organizations through their business operations, statistics and surveys, and shall be provided by the units and individuals concerned in a timely and truthful manner.

Social insurance agencies shall establish files for employers in a timely manner, keep complete and accurate records of social insurance data such as the number of persons participating in social insurance and the amount of contributions paid, and properly keep the original vouchers for registration and declaration, as well as the accounting vouchers for payment and settlement.

Social insurance agencies shall record in a timely, complete and accurate manner the contributions of individuals participating in social insurance and the contributions made by the employer on their behalf, as well as records of their individual rights and interests such as the enjoyment of social insurance benefits, and shall regularly send the record sheets of individual rights and interests to the individuals free of charge.

Employers and individuals may, free of charge, inquire of the social insurance administration organizations, check their records of contributions and social insurance entitlements, and request the social insurance administration organizations to provide them with social insurance consulting and other related services

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