What is the medical insurance reimbursement process in Guangzhou?

1. The insured person holds the medical insurance card and goes to the secondary medical insurance agency in Guangzhou to handle the off-site filing of social medical insurance in Guangzhou. 2. Residents should bring the original certificate of continuous residence for more than 6 months issued by the local police station, street and neighborhood (village) committee, or a copy of the temporary residence permit. In the selected remote medical institutions, hospitalization, emergency observation, outpatient specific items or outpatient designated chronic disease treatment meet the prescribed medical expenses, and within 6 months after the individual advances, go to the Guangzhou medical insurance agency to handle the reimbursement procedures for sporadic medical expenses. No payment will be made if it has not been processed for more than 1 year.

The materials required for off-site reimbursement include the following six types:

1, the original medical insurance card and its front and back copies;

2, the original invoice for hospitalization (stamped with the seal of medical institutions);

3. Detailed summary list of hospitalization;

4, medical institutions stamped diagnosis proof materials;

5. Home page of hospitalization medical records (or admission records);

6. Copy of discharge summary (stamped with special seal for medical records management of medical institutions).

What's the difference between medical insurance and social security?

1, medical insurance is a kind of social security, and social security includes medical insurance, which covers a wider range;

2. The medical insurance card has a narrow application range and is only used for medical insurance. The social security card has a wide application range and can be used for human resources and social security.

3. The medical insurance card can only be used in a fixed area;

When employees apply for medical treatment in different places in batches, the unit needs to provide the offer documents of the electronic import form for medical treatment in different places, which can be collected at the service window of the municipal secondary medical insurance agency.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 3 of People's Republic of China (PRC) Social Insurance Law

The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.

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.