How to reimburse the hospital for brushing the medical insurance card

The process of medical insurance reimbursement is: preparing discharge records, medical records and disease diagnosis. At the same time, these materials must be stamped. Check out after discharge, don't lose the invoice, and the medical insurance department will receive the original. After returning to the local area, bring the information to the medical insurance reimbursement department for reimbursement. After the data is submitted, as long as the basic information is confirmed to be correct, the reimbursement amount will arrive within 15 working days.

How to reimburse for medical treatment in different places?

1, recommendation certificate. If you want to use a medical insurance card for reimbursement when you go to a foreign country to see a doctor, you must first issue a referral certificate at the local hospital. This certificate needs to be in a slightly larger local hospital, at least above the county level;

2. The seal of the hospital. After the referral certificate is issued in a hospital at or above the county level, it needs to be stamped. This chapter is not only the chapter of the hospital, but also the chapter of the hospital social security window where the referral certificate is issued;

3. Social Security Bureau registration. After opening the referral certificate and the seal of the hospital, I went to the local instrument bureau to register with relevant information. This registration is mainly filed in the Social Security Bureau to facilitate reimbursement of medical insurance in different places in the future;

4. Hospital invoice. The reimbursement for medical treatment in different places is mainly hospitalization. Let the hospital make an invoice after seeing a doctor, and be sure to keep the invoice, which is the basis for reimbursement;

5. Reimbursement by Social Security Bureau. When you come back from illness, you should go to the local social security bureau for reimbursement, and bring relevant materials, including invoices, ID cards, household registration books, social security cards, etc.

6. Outpatient reimbursement. Generally, it is more troublesome to reimburse hospitalization expenses in different places, but if it is outpatient expenses in different places, you don't have to bother. Just bring the invoice back to the Social Security Bureau for reimbursement.

Use the medical insurance card to see a doctor in the outpatient department, and settle the account in real time without reimbursement. Hospitalization reimbursement process: please use the medical insurance manual for medical treatment. If the unit pays in full, the individual can go through the hospitalization formalities only by paying part of the advance payment for hospitalization, and the medical expenses incurred should meet the scope of medical insurance. When leaving the hospital, the hospital and the individual will settle the expenses themselves, and the reimbursement amount of the overall fund will be settled by the hospital and the district medical insurance center.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 25 of People's Republic of China (PRC) Social Insurance Law

The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government. 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. Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.