Medicare manual reimbursement will be less

Medicare manual reimbursement will be less.

Because the social security card universal district will be extended in stages, the city plans to fully implement the card before the end of the year, real-time settlement. The relevant person in charge said, the manual reimbursement will not completely "disappear", social security card lost or replacement period, the enterprise owes the period, such as foreign medical expenses still need to be reimbursed manually. But the specific procedures need to be determined according to local regulations and policies.

Medicare reimbursement conditions:

1, the participants must be in line with the national provisions of health insurance participants, that is, people who have paid the appropriate medical insurance fees under the national health insurance system;

2, the medical expenses must be in line with the national health insurance directory of the medical services provided by the medical services, including medicines, therapeutic items, checkups, surgical procedures, etc.

3, the medical expenses must be in line with the national health insurance directory of the medical services, including medicines, therapeutic items, checkups, surgical procedures, etc.

3, medical expenses must be consumed in health insurance designated medical institutions, that is to say, participants can only enjoy health insurance reimbursement services in health insurance designated institutions;

4, medical expenses must be submitted to the health insurance reimbursement application within a specified time, generally required to submit the application within a certain period of time after medical treatment;

5, the balance of the participants' personal account must be sufficient, or else they cannot enjoy the health insurance reimbursement service.

In summary, the process of replacing a health insurance card may vary in different regions and types of health insurance, and the specific process of replacing a card needs to be determined according to the actual situation and policy regulations in the local area.

Legal basis:

Article 2 of the Social Insurance Law of the People's Republic of China

The State establishes a social insurance system for basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to obtain material assistance from the State and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment and maternity.

Article 26

The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

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.