Where to reimburse Chengdu city employees' supplemental medical insurance

Chengdu Municipal Employees' Supplementary Medical Insurance is reimbursed at the local social security bureau. The reimbursement process of medical insurance:

1, the processor submits the reimbursement documents and other materials to the social security institution for acceptance;

2, the acceptance department since the receipt of the application materials, audit, settlement, payment work;

3, social security institutions to approve the application, the applicant receives social health insurance medical expense reimbursement claim to be reimbursed.

The scope of reimbursement of supplementary medical insurance is as follows:

1. The scope of reimbursement of enterprise supplementary medical insurance is as follows: medical expenses when the personal account is not enough to pay for the expenses; expenses not reimbursed by the basic medical insurance; and expenses not reimbursed by the large amount of medical expenses.

2. The scope of reimbursement of commercial medical insurance includes: outpatient medical fees and hospitalization medical fees due to illness and accidental injury; medical fees due to accidental injury; medical fees due to hospitalization due to illness or accidental injury; medical fees due to surgery; and the insurer's payment of insurance premiums for specific illnesses according to the agreed amount.

3. The scope of reimbursement of community medical insurance includes: medical expenses for hospitalization in designated medical institutions (including home hospital beds); outpatient special diseases (outpatient radiotherapy for malignant tumors, outpatient renal dialysis, and anti-rejection medication after organ transplantation) and treatment expenses for chronic diseases (hypertension, coronary heart disease and diabetes).

Legal Basis: Article 26 of the Social Insurance Law of the People's Republic of China

The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.

Article 28

Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with the state regulations.

Article 29