How to reimburse the overall payment of medical insurance card

How to reimburse the overall payment of medical insurance card is as follows:

1. Under normal circumstances, when you need to be hospitalized due to illness, you can go to your designated hospital with your medical insurance card and medical records, and settle it with your medical insurance card;

2. Transfer from your designated hospital to a secondary or tertiary hospital, use the medical insurance card for settlement, and reimburse part of it at your own expense for settlement by medical insurance centers and hospitals. The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.

The medical insurance card is handled as follows:

1. The insured person brings his/her valid certificate and applies to the neighboring county medical insurance center, and the county medical insurance center will settle the account on the spot;

2. The insured person can also apply to the adjacent street medical insurance service point for handling, and the service point will settle within 3 working days. The insured person shall receive the medical insurance card at the service point within the specified time;

3. The insured may entrust others to handle it on his behalf. Customers need to carry valid certificates of themselves and the insured when handling;

4. When the employer handles it centrally, it can go to the county medical insurance center with the employer's letter of introduction and the valid certificate of the handling personnel, and then the employer will issue medical insurance cards to the insured.

To sum up, the overall payment is to use the funds in the overall account to pay the relevant medical expenses of the insured; Account payment, that is, using the insured's medical insurance card to swipe the card at the pharmacy or clinic. Used for the behavior that happens when buying medicine at ordinary times. In some areas, part of the real-time settlement is coordinated, and the insured person does not need to pay in advance. In some areas, the insured pays in advance and then reimburses.

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.