Can I apply for medical insurance if I fall?

Personal falls can be reimbursed by medical insurance.

Because basic medical insurance does not have a certain coverage like commercial medical insurance, as long as it is not a traffic accident or self-injury, it can generally be reimbursed. Just the user needs to pay attention. If users want medical insurance reimbursement, they need to go to designated hospitals.

Medical insurance reimbursement materials:

1, medical insurance card: hold a valid medical insurance card;

2. Medical records: medical records are needed, including the department, date, diagnosis result and treatment plan.

3. Prescription note: the original and photocopy of the prescription note are required, including the name, dosage, usage and time of use of the drug;

4. Receipt: the original and photocopy of the receipt for drug purchase or treatment expenses shall be provided, including the name, quantity, unit price and amount of the drug;

5. Hospitalization records: In case of hospitalization, hospitalization records, discharge summary and other hospitalization records shall be provided;

6. Other relevant materials: such as outpatient medical bills, inpatient medical bills, inspection reports issued by hospitals, laboratory tests, etc.

Personal medical insurance processing flow:

1. Preparation materials: prepare personal ID cards, household registration books, application forms, photos and other related materials according to local social security policies and requirements;

2. Consult the local social security department: go to the local social security department and consult the staff to learn about the personal medical insurance policy, application process, payment standard and other information;

3. Fill in the application form: according to the requirements of the local social security department, fill in the application form for personal medical insurance and submit it to the social security department;

4. Payment of medical insurance expenses: According to the requirements of the local social security department, personal medical insurance expenses can generally be paid at the social security department or the designated bank window;

5. Get a medical insurance card: After payment, you can generally get a personal medical insurance card in the social security department. Personal medical insurance card is a personal identification and reimbursement tool, which can be used in hospitals, pharmacies and other places.

To sum up, the medical insurance policies and requirements in different regions may be slightly different, and the specific operation can be adjusted according to local policies and actual conditions.

Legal basis:

Article 4 of People's Republic of China (PRC) Social Insurance Law

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.