Chengdu serious illness insurance reimbursement

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Medical insurance reimbursement for serious illness:

Urban residents' serious illness insurance is a system to further protect the high medical expenses incurred by seriously ill patients on the basis of basic medical security, and the reimbursement of serious illness insurance is settled once a year. Meanwhile, six out-of-pocket expenses can be reimbursed twice.

The protection object of serious illness insurance is the personnel who participate in the basic medical insurance for urban residents in this city, mainly including students and children, urban elderly, unemployed residents and disabled people.

After the insured enjoys the basic medical insurance benefits for urban residents in that year, the medical expenses paid by individuals (having enjoyed the corresponding deduction of medical assistance from the civil affairs department) exceed the per capita disposable income of urban residents in this city in the previous year (hereinafter referred to as the deductible) and are included in the scope of payment for serious illness insurance.

Serious illness medical insurance is reimbursed according to the data of medical insurance information system. Insured residents must hold a card for medical treatment when seeking medical treatment to ensure that the medical reimbursement materials are complete and the reimbursement expenses are accurate. At the same time, insured residents should adhere to the system of first consultation in the community and seek medical treatment reasonably.

During the period of loss reporting and replacement of social security cards, insured residents need to keep medical documents, and medical expenses will also be uploaded through the information system when they are reimbursed manually.

If the insured residents need to inquire about the details of medical reimbursement, they can go to the social security office where the household registration is located to inquire about the reimbursement of personal medical expenses.