Job Recruitment Website - Social security inquiry - Can I be reimbursed for changing my company's hospitalization during social security?
Can I be reimbursed for changing my company's hospitalization during social security?
As long as employees continue to pay social security, they will pay it every month. Changing the social security payment unit will not affect employees' use of medical insurance reimbursement. Moreover, medical expenses can not be reimbursed until they exceed a certain amount. The part that is not exceeded cannot be reimbursed.
The hospitalization social security reimbursement process is as follows:
1. On admission: the medical insurance patient goes through the social security registration formalities with his ID card, and then goes to the ward for hospitalization;
2. When leaving the hospital: the doctor arranges the patient to leave the hospital, and goes through the discharge settlement formalities at the hospitalization fee office with the admission registration form and ID card; Then the hospitalization documents, charging documents, medical insurance cards and ID cards are settled in the medical insurance office set up by the hospital. The reimbursement conditions must meet the reimbursement conditions of residents' medical insurance. The reimbursement ratio is determined according to the level of the hospital, and the hospital has a starting point for reimbursement.
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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. Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party. Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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