Job Recruitment Website - Social security inquiry - Can I go to the hospital without a medical insurance card for reimbursement?
Can I go to the hospital without a medical insurance card for reimbursement?
1. The holder of the medical insurance card has been insured (the employee's medical insurance fee is jointly paid by the employer and the employee, and the employee can also pay by himself as a flexible employee);
2. Medical expenses that should be reimbursed by the medical insurance fund (in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses);
3. Complete information (ID card, medical insurance card, hospitalization bill, outpatient and emergency expenses list, prescription details, hospitalization expenses list, discharge summary, etc.). );
4. There is no non-reimbursement (it should be borne by a third party; Should be borne by public health; Should be paid from the industrial injury insurance fund; Go abroad for medical treatment);
5. Apply for reimbursement to the social insurance agency or designated medical institution or designated drug business unit in the insured place.
The medical insurance reimbursement process is as follows:
1. When the applicant submits the application materials, the accepting department shall review the application materials within 5 days from the date of receiving the application materials and decide whether to accept them;
2. If the application materials are incomplete, inform the applicant of all the contents that need to be corrected at one time within the above 5 days;
3. The applicant shall make corrections within 5 days from the date of receiving the notice of correction of materials;
4, overdue correction, as the withdrawal of the application;
5. However, after the materials are corrected, the applicant may reapply within the statutory validity period;
6. After the Social Insurance Fund Administration has reviewed the materials and approved the application, the applicant will receive the reimbursement form for medical expenses of social medical insurance and be reimbursed.
The materials required for medical insurance reimbursement are as follows:
1, copy of ID card and medical insurance card;
2. A copy of the savings card or passbook of China Bank;
3, invoices (medical settlement documents reimbursement vouchers), medical expenses detailed summary list;
4. Copy of hospitalization medical records (including: medical record home page, admission records, long-term doctor's orders, temporary doctor's orders, discharge records or discharge summaries, main inspection results and operation records);
5. Discharge certificate;
6. When the accidental injury is reimbursed for hospitalization, it is necessary to provide the injury process certificate issued by the public security organ or the neighborhood committee of the injured place.
To sum up, medical expenses can be reimbursed without social security card. As long as you bring hospital invoices, general list, doctor's advice, medical records and other materials, you can go to the medical insurance center for reimbursement, and directly enter the designated bank card after reimbursement.
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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