The reimbursement process of medical insurance in different places in Shandong Province

Legal analysis: the insured person must go to the designated medical institution of basic medical insurance for medical treatment and hospitalization. The medical expenses incurred in hospitalization belong to the scope and payment standard of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, and can only be paid by the basic medical insurance according to the prescribed proportion.

Legal basis: Article 72 of the Social Insurance Law of People's Republic of China (PRC): Set up social insurance agencies in the overall planning area. According to the needs of the work, with the approval of the local social insurance administrative department and the organization management organ, the social insurance agency may set up branches and service outlets in this overall planning area.

The personnel expenses of social insurance agencies and the basic operating expenses and management expenses incurred in handling social insurance shall be guaranteed by the finance at the same level in accordance with state regulations.