How to reimburse medical insurance in Chengdu

I. Conditions for reimbursement:

Individuals who join the insurance for the first time will start enjoying the medical insurance benefits after making contributions for six consecutive months.

If an unemployed person participates in the medical insurance during the period of receiving the unemployment insurance benefits or within 60 days after receiving the unemployment insurance benefits, he/she will be entitled to the medical insurance treatment from the month following the payment of the contributions.

Second, for the materials:

Specified medical institutions hospitalization costs reimbursement:

1. hospitalization costs co-ordination payment summary list;

2. hospitalization costs co-ordination payment settlement form (hospitals must be stamped);

3. hospitals not networked with a special form of bookkeeping, networked with the special circumstances of hospitals must be opened with a special form of bookkeeping;

4. financial and tax departments to produce or supervise the special bills for hospitalization charges;

5. patients or family members to sign the list of costs;

6. Chinese medicine compound prescription;

7. hospital discharge certificate of condition.

Three, the process:

1. The processor submits the reimbursement documents and other materials to the Shenzhen Grey Insurance Fund Administration for acceptance;

2. The acceptance of the department since the receipt of the application materials, the medical insurance center to complete the audit on the same day, the settlement of payments;

3. The Social Insurance Fund Administration to review the materials and approval of the application, the applicant receives the "Social Medical Insurance Medical Expense Reimbursement Form" and then reimbursement is made.

Note: If the application materials are incomplete, such as the applicant needs to correct all the contents, the applicant should correct the materials within 5 days from the date of receipt of the Notice of Corrected Materials. Failure to make corrections after the deadline shall be deemed as withdrawal of the application.

However, after correcting the materials, the applicant may reapply within the statutory validity period. The applicant will be reimbursed after receiving the Social Health Insurance Medical Expense Reimbursement Form.

Fourth, the reimbursement rate:

Municipal health insurance reimbursement rate:

First-class hospitals 92%, second-class hospitals 90%, third-class hospitals 85%, the age of 50 years of age increased by 2%, the age of 60 years of age increased by 4% example of 60 years of age 89% (third-class), the age of 70 years of age increased by 6%, the age of 80 years of age increased by 8%, and the same incremental increase, but not more than 100%.

Urban and rural residents health insurance reimbursement ratio:

Grade contribution health center first level second level third level

One 10065%60%55%35%

Two 20090%80%65%50%

Three 30090%85%80%65%

Student 12090%80%80% 65%50%

Provincial health insurance reimbursement rate:

Based on the payment rate formula (age * 0.2 + 75) ÷ 100, 50-59 years old increased by 2%, 60-69 years old increased by 4% example of the age of 60 years old 87% + 4% = 91%, 70-79 years old increased by 6%, 80-89 years old increased by 8%, and the same incremental increase, but not more than 100%.

V. Address:

Chengdu Municipal Medical Insurance Administration

Address: Social Security Building, No. 4, North Section 1, Second Ring Road, Chengdu

Tel: 028-87706251

Urban and Rural Medical and Workers' Injury Insurance Division (Chengdu Human Resource and Social Security Bureau)

Address: Building No. 3, No. 366, Jincheng Avenue, Hi-Tech District, Chengdu

Address: Building No.3, Jincheng Avenue, Hi-Tech District, Chengdu< /p>

Tel: 028-61888217

/cd.bendibao.com/live/20141022/63363.shtm "target="_blank "title="Only support when selecting a link to take effect">Chengdu municipal social security bureau phone, address

/ iknow-pic.cdn.bcebos.com/cb8065380cd79123c774ac72a0345982b2b7801b "target="_blank "title=""class="ikqb_img_alink">/iknow-pic.cdn. bcebos.com/cb8065380cd79123c774ac72a0345982b2b7801b?x-bce-process=image%2Fresize%2Cm_lfit%2Cw_600%2Ch_800%2Climit_1%2Fquality%2Cq_ 85%2Fformat%2Cf_auto "esrc="/detailGuide.action?id=LzbiDnZepFZgQ3zcCBLv "target="_blank "title="Only support when a link is selected to take effect">Chengdu Social Security Bureau - Medical Insurance Clerical Guide