How to apply for community health insurance

Community health insurance process is as follows:

1, understand the local community health insurance policy: different areas of the community health insurance policy may vary, you need to understand the local policy provisions, coverage and costs and other information;

2, to prepare the relevant documents and materials: generally need to provide ID cards, social security cards, household registration and other relevant documents and materials;

3, to the Community health insurance service window: you can go to the local community health insurance service window or social security bureau for community health insurance, fill out the relevant application forms and payment documents, pay the appropriate fees;

4, waiting for the audit and opening: community health insurance service window staff will review the application materials, after the audit, the community health insurance service window will be opened to community health insurance services.

Conditions for medical insurance:

1, with the qualification of medical insurance. The qualifications for medical insurance include urban workers' basic medical insurance, urban and rural residents' basic medical insurance, new rural cooperative medical care and other types, and there may be differences in the qualifications for different types of medical insurance;

2. Payment of medical insurance premiums. Health insurance applicants need to pay health insurance premiums in accordance with the regulations, and the payment method can be self-payment or payment on behalf of the unit;

3. Provide relevant documents and information. Applicants for health insurance need to provide proof of identity and relevant documents, such as ID cards, household registers, social security cards, etc., as well as a list of medical expenses related to health insurance, diagnostic certificates and other information;

4. Meet the stipulated reimbursement standards for health insurance. Different types of health insurance qualifications correspond to different health insurance reimbursement standards, you need to meet the prescribed health insurance reimbursement standards in order to enjoy the health insurance services.

In summary, the community health insurance policies and regulations may vary from region to region, and the materials required for the specific operation may also be different, so you can operate according to the requirements of the local health insurance organizations. The use of community health insurance also needs to comply with health insurance policies and regulations to avoid unnecessary trouble.

Legal basis:

Article 26 of the Social Insurance Law of the People's Republic of China

The treatment standards of basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27

Individuals who have participated in the basic medical insurance for employees and whose accumulated contributions have reached the number of years stipulated by the State when they reach the legal retirement age shall no longer pay the basic medical insurance premiums after their retirement, and shall be entitled to the basic medical insurance benefits in accordance with the State's provisions; if they have not yet reached the number of years stipulated by the State, they may make contributions up to the number of years stipulated by the State.

Article 28

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