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How many days can I be hospitalized before I can reimburse my medical insurance?
Medical insurance reimbursement procedure
1, settlement procedure for inpatient and outpatient treatment of special diseases
Designated medical institutions shall submit the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month. After the audit by the medical insurance agency, as the basis of monthly pre-allocation and year-end final accounts, the medical insurance agency pre-allocated the expenses for hospitalization and special disease outpatient service last month.
Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately.
2. Emergency settlement procedures
The medical expenses incurred by the insured due to emergency rescue to non-designated medical institutions in this city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall handle the reimbursement procedures according to the provisions with the emergency hospitalization medical records, inspection, laboratory test sheets, invoices and detailed list of medical expenses.
3, the placement of personnel placement procedures
① Designated medical institutions with the residence of 1-2 shall be designated by the unit where the resettlement personnel are located, and reported to the medical insurance agency for the record.
(2) The medical expenses incurred by the off-site staff in the designated medical institutions at their place of residence shall be paid in advance by themselves or their units. After the treatment, the unit shall settle the diagnosis and medical records, effective expense bills, compound prescriptions and hospitalization expenses list of the insured. Go to the social medical insurance agency on the specified date.
Extended data:
Medical insurance reimbursement materials
1, social security card
2, the basic medical insurance manual reimbursement schedule or the basic medical insurance outpatient upload fee schedule.
3, "medical insurance manual reimbursement expense audit form" or "medical insurance outpatient upload expense audit form"
4. Charge bills
5. Bottom prescription
6, check, treatment cost details
7. Offer documents
8, emergency diagnosis certificate (emergency (room) emergency prescription stamped with emergency chapter, Beijing medical insurance special prescription stamped with emergency chapter, emergency diagnosis certificate)
9, Beijing medical insurance referral (hospitalization) list
Baidu encyclopedia-medical insurance
Baidu encyclopedia-medical insurance reimbursement scope
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