How to reimburse Wuxi medical insurance card for medical expenses?

First, how to use the medical insurance card to reimburse doctors?

1. Find out which hospital you are going to. There will be designated hospitals for medical insurance in every region, and these hospitals may not choose reimbursement. What can I check specifically? In addition to these designated hospitals, we can also fill in four non-designated hospitals on the social security card, including 1 community hospitals.

2. You must hold a social security card for medical treatment. If you go to a designated medical insurance hospital, but you don't have your social security card when you see a doctor, you only have your ID card. Sorry, no matter how much you spend, you can't reimburse it.

Not all diseases can be reimbursed. Don't think that the cost of seeing a doctor in a hospital can be reimbursed. Some "diseases" cannot be reimbursed, such as plastic surgery, and some imported drugs cannot be reimbursed. Therefore, when you see a doctor, you should ask the doctor whether it is within the scope of reimbursement.

All kinds of documents should be put away. We usually need to provide the following information when reimbursing: bills, doctors' diagnosis and case books. If you want to keep the diagnosis sheet and medical records, just hand in a copy.

Second, how to check the balance of the medical insurance card?

1, telephone inquiry. You can call the unified free consultation telephone number of the local social security center 12333.

2. You can check the balance when you go to designated medical institutions or retail pharmacies around the country to swipe your card for hospitalization or buy medicine; Or check with the local labor and social security bureau.

3. Self-service terminal query.

4. Network query. Log in to official website, the local labor and social security bureau (please register first if you are not registered), and enter your ID number for inquiry.

Third, how to reimburse without a medical insurance card?

If you don't need a medical insurance card to see a doctor in the hospital, you often need to pay the medical expenses first, and then go to the social security center for reimbursement, and you need to bring invoices, general lists, doctor's orders, medical records and other materials.

Note that if you still want to use commercial medical insurance for reimbursement, when you apply for social security reimbursement yourself, you should let the social security center have an invoice split sheet at the beginning and affix the official seal. Use the split list and a copy of the invoice, and then go to the insurance company, usually through the application.

Legal objectivity:

According to the provisions of Article 28 of the Social Insurance Law, medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.