Job Recruitment Website - Social security inquiry - How to reimburse surgical social security?
How to reimburse surgical social security?
1. Bring your ID card and medical insurance card to the local designated hospital and pay the deposit. At the time of discharge settlement, it should be deducted from the deposit or medical insurance card, and more refunds should be made; If the medical insurance is reimbursed, it will be settled by the medical insurance and the hospital, and the insured person does not need to pay for it himself;
2, town hospital reimbursement 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%. According to local regulations, reimbursement rates and minimum payment standards vary from place to place. If you need to know, you can directly consult the local medical insurance center.
Social security reimbursement requires the following materials:
1. materials required for outpatient reimbursement: original medical materials such as outpatient medical records, examination and test results reports; Original ID card; Original medical diagnosis certificate; Original receipt of general outpatient and emergency charges, detailed list of outpatient charges or original prescription (the prescription is pasted behind the receipt by date);
2. Materials required for reimbursement of maternity expenses: one original and one copy of the Maternity Service Certificate; A copy of the baby's birth certificate; Copy of medical diagnosis certificate; All original receipts and prescriptions (Chinese and western medicine fees) were successfully sorted out by date, and medical expenses can be reimbursed to 4 yuan;
3. Materials required for reimbursement of work-related injuries: Application Form for Identification of Work-related Injuries is in quadruplicate, and copying is invalid; One original and one copy of the diagnosis certificate and the diagnosis certificate of outpatient (inpatient) cases or occupational diseases; One original and photocopy of the text of the labor contract; Copy of the injured person's ID card.
Legal basis: Article 2 of People's Republic of China (PRC) Social Insurance Law.
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
essay
The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.
Article 4
Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
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