How to handle the reimbursement of Shenzhen medical insurance in different places?

The reimbursement process of Shenzhen medical insurance for medical treatment in different places is as follows:

1. In Shenzhen, medical insurance is filed. Generally, you can go directly to the local medical insurance institution or apply online.

2. Prepare relevant materials. For reimbursement of outpatient medical expenses, the original receipt and detailed list of expenses stamped with the official seal of the hospital should be prepared. For reimbursement of hospitalization medical expenses, it is necessary to prepare the discharge record or summary stamped with the official seal of the hospital, the detailed list of expenses stamped with the official seal of the hospital, and the original charge receipt stamped with the official seal of the hospital.

3. Bring the prepared materials to the local social security agency for reimbursement, and the staff will review whether the materials meet the reimbursement conditions;

4. Eligible people can get reimbursement, usually by SMS or by mail to the insured.

Materials required for reimbursement of medical treatment in Shenzhen medical insurance in different places:

1, Shenzhen social medical insurance insured cash payment medical expenses audit reimbursement application form;

2. Identity card;

3, the original fee receipt, need to build official seal of the hospital;

4, detailed list of expenses, need to build official seal of the hospital;

5, discharge record/discharge summary, need to build official seal of the hospital;

6, such as the use of drugs limited in the medical insurance catalogue. , need to provide diagnosis certificate, laboratory test sheet, pathological report, checklist, proof of drug purchase in other hospitals (treatment, inspection), need to build the official seal of the hospital;

7. If medical materials with a price of 1000 yuan or more are used during hospitalization, the certificate of origin (domestic/imported) of medical materials with a price of 1000 yuan or more shall be provided, and the official seal of the hospital shall be affixed;

8. Description of trauma needed for trauma hospitalization/Confirmation letter of Shenzhen social insurance injured patients needs to be stamped with the official seal of the hospital.

To sum up, the hospitalization expenses in different places in Shenzhen can be settled directly by credit card or paid in advance by individuals, and the outpatient expenses in different places in Shenzhen can only be settled by the balance of medical insurance personal account.

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.

Twenty-ninth session

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.