How to reimburse the school medical insurance at home

The process of reimbursing school health insurance at home mainly involves preparing relevant materials, submitting reimbursement applications and waiting for review and payment.

I. Preparing relevant materials

First of all, students need to prepare the relevant documents for school health insurance, including health insurance card, ID card, etc., in order to prove their identity and enrollment. In addition, they need to collect medical invoices, diagnostic certificates, medical records and other relevant medical information, which will be used as the basis for reimbursement.

Two, submit the reimbursement application

After preparing the relevant materials, students need to go to the local social security institutions or designated hospitals for reimbursement application. During the application process, you need to fill out the reimbursement application form and submit the relevant materials together. The specific application process may vary from region to region, and students can operate according to local regulations.

Three: Waiting for Audit and Payment

After submitting the application, the social security organization or the designated hospital of medical insurance will audit the submitted materials. Upon approval, the student will receive the reimbursement payment. It is important to note that the method and time of payment of reimbursement may vary from region to region, so students need to pay attention to the relevant notices.

During the reimbursement process, students need to pay attention to the following points:

1. Make sure that the documents submitted are true and complete, so as to avoid reimbursement failure due to incomplete or false documents.

2. Understand the local reimbursement policies and regulations to ensure that your reimbursement behavior meets the relevant requirements.

3. Maintain communication with social security organizations or designated hospitals to keep abreast of reimbursement progress and results.

In summary: school health insurance reimbursement at home need to prepare the relevant materials, submit reimbursement applications in accordance with local regulations, and wait for review and payment. In the reimbursement process, students need to pay attention to the authenticity and completeness of the materials, understand the local reimbursement policies and regulations, and maintain communication with the relevant organizations.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 27 stipulates:

Individuals who have participated in the basic medical insurance for employees and whose cumulative contributions have reached the number of years stipulated by the state by the time they have reached the legal age of retirement shall not pay any more contributions to the basic medical insurance after their retirement, and they shall enjoy the benefits of the basic medical insurance in accordance with the provisions of the state; and those who have not reached the number of years stipulated by the state may contribute to the basic medical insurance. If they have not yet reached the state prescribed period of time, they can pay contributions until the state prescribed period of time.

The Social Insurance Law of the People's Republic of China

Article 28 stipulates:

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

The Social Insurance Law of the People's Republic of China

Article 30 stipulates:

The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:

(1) those that should be paid from the workers' compensation insurance fund;

(2) those that should be borne by a third person;

(3) those that should be borne by the public ****health burden;

(iv) medical treatment outside the country.

Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.