How to reimburse social security reimbursement?

The social security reimbursement process is as follows:

1. reimbursement for hospitalization with medical insurance card: if the insured needs reimbursement, they can go to the designated hospital with the medical insurance card and issue a hospitalization certificate after being diagnosed by a doctor. The insured person should go through the registration formalities at the hospital window and pay the medical expenses required for treatment first. The reimbursement materials include the original ID card, medical insurance card, medical record, admission certificate, inspection report and the original materials of the agent to the local social security department for reimbursement;

2. Maternity insurance reimbursement: prepare materials, and go to the local maternity insurance processing window for reimbursement within 3 months after delivery. Enter the treatment declaration, and declare the treatment with the help of the window staff. After examination and approval by relevant departments, if the maternity insurance reimbursement conditions are met, the reimbursement expenses will be transferred to the insured's account through social security cards or other means;

3. Work-related injury insurance reimbursement: apply for work-related injury identification. The administrative department of social insurance accepts and conducts investigation and verification. Make a work-related injury determination decision and send a copy to the social insurance agency. Workers receive compensation for work-related injuries from social insurance institutions.

Social security processing flow:

1, prepare the account opening materials, and go to the local social security bureau to open an account, usually through the account opening service window of the social security bureau. The required materials include: business license 1 copy (with official seal), organization code certificate 1 copy (with official seal), double-sided ID card of legal representative 1 copy (with official seal), bank account opening permit 1 copy (with official seal) and 2 social insurance registration forms; All the above information is submitted to the Social Security Bureau, and the staff of the Social Security Bureau will enter the information into the system and issue a social insurance registration certificate on the spot;

2. Go to the Social Security Bureau to get the employee social security declaration and approval form. Fill in the personnel registration form of the social insurance insured unit, and let the company legal person sign it. Then both forms are stamped with the official seal of the company and taken to the verification window of the social security bureau. The staff will give you the social insurance premium declaration verification form;

3. Go to the local tax bureau to change the tax payment certificate. It seems that if you get the social security fee declaration and approval form, you can pay directly in cash, or swipe your card, or go to ICBC to pay. "Social insurance declaration and approval form" in duplicate. The first copy is sent to the local local tax bureau with the official seal, and the second copy is kept by itself. If your company is newly established and has not been registered with the local taxation bureau, it is impossible to change it to the tax payment book now. You need to follow the process to complete the registration before you can change it. First you have to register tax, and then you have to register social security.

4. Pay at the bank where the company opens an account. To open an account in the company, you need to pay by tax bill. To be clear, the set of seals left by the company in the bank where the account is opened can be stamped on the tax payment form first. If you are not sure what stamp to stamp, you can take the company's stamp to the bank to stamp it on the spot, and finally the bank will return the first tax return for your own use.

To sum up, social security reimbursement should go to the hospital for medical insurance networking procedures with valid documents such as medical insurance card or ID card and household registration book, and go through settlement procedures directly when leaving the hospital; For work-related injury reimbursement, after work-related injury identification and labor ability appraisal, negotiate social security cards, work-related injury identification decisions, labor ability appraisal and other materials to apply for work-related injury compensation to work-related injury insurance agencies and employers; Others.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.