Reimbursement of Social Security Expenses for Company Employees

Social security reimbursement refers to the proportionate reimbursement by social insurance of the cost of medical expenses, maternity expenses and treatment of work-related injuries of employees' residents. Social security reimbursement mainly consists of three parts: maternity insurance reimbursement and work injury insurance reimbursement. Social health insurance reimbursement methods vary somewhat from place to place.

Social security reimbursement process:

First of all, go to the designated public hospital for hospitalization → within three working days of hospitalization, you must go to the hospital medical insurance office to register for the record → when you are discharged, go to the medical insurance office to open the hospitalization application, hospitalization invoices, detailed lists, medical records.

If it is a trauma, you should also go to the hospital health insurance office to fill out the trauma form and stamp the official seal of the hospital and the official seal of the insured unit, write a good description of the situation of each person, the insured unit's statement or certificate → to the second floor office of the Social Security Bureau of labor reimbursement. When reimbursement of urban residents medical insurance need the original of the above materials, if you need to reimbursement of commercial insurance, please make a copy of all the above materials and stamped with the hospital's seal, in order to prepare for the commercial insurance.

If you have a New Rural Cooperative Medical Program, you can't apply for it at the same time as the urban residents' medical insurance, you can only apply for it in one place.

If you have commercial insurance, you should first apply for urban residents' medical insurance, and then apply for commercial insurance; if you apply for commercial insurance first, then the urban residents' medical insurance will not be reimbursed.

Two, different reasons for hospitalization health insurance reimbursement process:

1, sick hospitalization: within three days of hospitalization, with the health insurance card or ID card, household register and other valid documents to the hospital health insurance office for health insurance networking procedures, when discharged directly to the hospital health insurance office for settlement procedures.

2, trauma hospitalization: within three days of hospitalization, with a medical insurance card or ID card, household registration and other valid documents to the hospital health insurance office for health insurance networking procedures, by the city (district) health insurance office audit section investigation, in line with the provisions of the health insurance reimbursement, when discharged directly to the hospital health insurance office for billing procedures;

Not investigated clearly or have objections to the hospital, after discharge, with medical records

When you are discharged from the hospital, bring your medical records, invoices, billing statements, a copy of your CCB bankbook, and all other documents to the Municipal Health Insurance Office to conduct an investigation, and then go to the Urban Residents' Health Insurance Management Section for reimbursement.

3. Outpatient accidental injuries: After the treatment is finished, bring the outpatient medical records, invoices, a copy of your CCB passbook and other documents to the Municipal Health Insurance Office for investigation, and then go to the Urban Residents' Health Insurance Management Section for reimbursement.

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