How to reimburse medical insurance cards in different places?

Social security card reimbursement in different places can mainly be handled in the following ways:

1. Personnel seeking medical treatment in different places shall first go through the registration procedures for medical treatment in different places.

2, after the medical treatment, with the relevant bills to the insured medical insurance agencies for reimbursement procedures.

3. If the medical insurance network settlement is realized between the insured place and the medical treatment place, the medical expenses can be directly settled by swiping the medical insurance card at the medical treatment place.

Procedures for reimbursement of medical insurance in different places:

1. Medical expenses in medical insurance personal accounts reimbursed by medical insurance in different places can be transferred to your bank account at Zigui Medical Insurance Bureau on a regular basis. Usually, outpatient medical expenses will be paid by individuals themselves.

2. If you are hospitalized, the reimbursement of medical insurance in different places needs to be reported to the Zigui County Medical Insurance Bureau for the record. When I leave the hospital, I will go to Zigui County Medical Insurance Bureau to settle the hospitalization expenses with the hospital diagnosis certificate, discharge summary, medication list, medical expense receipt and medical guarantee. If I can't come, I can also entrust an agent to handle medical insurance reimbursement in different places.

3. Provincial hospitals should be designated hospitals for local medical insurance.

4. The reimbursement rate is 88% for the threshold fee of more than 3,000 yuan, 90% for 3,000-5,000 yuan, 92% for 5,000-10000 yuan, and 95% for the maximum payment limit of more than10000 yuan, including 80% for Class B drugs and 70% for precious drugs, and special inspection. Medical expenses of individual medical insurance accounts can be transferred to Zigui Medical Insurance Bureau regularly, and hospitals in other provinces should be designated hospitals for local medical insurance.

Medical insurance reimbursement conditions:

1. Employees newly insured and re-insured after interruption of payment 1 year or more, who have participated in the basic medical insurance according to law and paid for 6 months continuously, excluding the overdue period, enjoy the basic medical insurance benefits according to regulations.

2, continuous payment of less than 6 months, do not enjoy the basic medical insurance benefits.

3. If the payment is interrupted for less than one year, the insured person will enjoy the treatment according to the regulations after re-insurance payment.

4, the interruption of payment personnel do not enjoy the basic medical insurance benefits during the interruption of payment.

To sum up, medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards, and emergency and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 25

The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.