Job Recruitment Website - Social security inquiry - How to reimburse medical insurance paid by the university?
How to reimburse medical insurance paid by the university?
1. When seeing a doctor in the hospital, inform the doctor to use the medical insurance paid by the university, and provide personal medical insurance card and identity certificate;
2. After the doctor issues the medical record and prescription, he can go to the pharmacy of the hospital to buy medicine;
3. When checking out at the pharmacy, show the medical insurance card and invoice, and the pharmacy staff will help with the medical insurance reimbursement procedures;
4. After the reimbursement is successful, the medical insurance will directly transfer the reimbursement amount to the personal bank account.
Medical insurance reimbursement conditions:
1. Confirm the insured status: before seeking medical treatment, you need to confirm that you have participated in local medical insurance, which can be confirmed by means of social security card and medical insurance certificate;
2. Medical category: Medical insurance generally only reimburses therapeutic medical behaviors, such as outpatient service, hospitalization, surgery and examination. Some cosmetic medical behaviors, such as dental beauty and plastic surgery, are usually not covered by medical insurance reimbursement;
3. Medical expenses: Medical insurance will only reimburse medical expenses that meet the requirements, such as medical expenses, medicine expenses, examination expenses, operation expenses, etc. Personal expenses, medical insurance will not be reimbursed;
4. Hospital qualification: Medical insurance will only reimburse the medical expenses of legally operated medical institutions, such as public hospitals and qualified private hospitals. Medical insurance will not be reimbursed for illegal medical institutions or clinics.
To sum up, the medical insurance policies in different regions may be different, and the specific operation procedures may also be different. Before reimbursement, you can learn about the local medical insurance policies and operational procedures.
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.
Article 29
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.
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