Time limit for social security reimbursement in Beijing

There is a time limit and reimbursement must be made before the following year 1 month.

I. Outpatient service

(a) the use of medical insurance card to outpatient treatment, real-time settlement, no reimbursement.

(2) Please use Beijing Medical Insurance Manual (medical blueprint) for outpatient treatment without medical insurance card.

1. Reimbursement scope: general outpatient and emergency expenses incurred by the insured in designated hospitals or specialized hospitals, traditional Chinese medicine hospitals and tertiary hospitals selected by individuals.

2. Outpatient deductible line: the total emergency expenses of general outpatient service exceed 1.800 yuan in a natural year.

3. Reimbursement ratio: 70% for the hospital, 90% for the community, and the top line: 20,000 yuan.

4, the required materials:

Original ID card;

Original medical diagnosis certificate;

Original medical data such as outpatient medical records, examination and test results reports;

Original receipt of general outpatient and emergency charges,

The original of the detailed list of outpatient expenses or prescription (the prescription is pasted on the back of the receipt by date).

5. Submission time: every month 1- 10, the expenses of the current month shall be submitted the next month, and the expenses of the current year shall be submitted before 1 the following year.

6. Handling process: If the accumulated Qifubiaozhun exceeds the Qifubiaozhun in a natural year, the unit manager will input all the documents into the enterprise software and report the generated electronic information and statements to the medical insurance center, which will complete the review, settlement and payment of reimbursement expenses within 30 working days.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.