What is the medical insurance reimbursement process in Chengdu?

Medical insurance, whether it is urban workers' medical care or urban residents' medical care, first needs to be hospitalized in local designated medical institutions approved by local medical insurance institutions. If you need to transfer to other medical institutions for treatment, you need to issue a referral certificate to the local community hospital or community health service center or designated medical institutions.

1, medical insurance, whether urban workers' medical care or urban residents' medical care, first needs to be hospitalized in local designated medical institutions approved by local medical insurance institutions.

2. If you need to transfer to other medical institutions for treatment, you need to issue a referral certificate to the local community hospital or community health service center or designated medical institutions.

3. If you are hospitalized in a local designated medical institution, the hospital will automatically deduct the medical insurance reimbursement for you when you check out.

4. Those who have been treated by local medical insurance but have not been hospitalized, or who have received radiotherapy or chemotherapy but have not been reimbursed in the hospital, can bring the official invoice, medical diagnosis, medication list, social security card or medical card issued by the hospital to the medical insurance window of the local administrative service center for reimbursement.

5. Those who have been treated in other medical institutions and have a referral certificate must submit all the treatment invoices, hospital diagnosis certificate, hospitalization certificate, ID card, social security card, medication list and medical records to the medical insurance window where the household registration (medical insurance) is located before 65438+February 3 1 every year.

6. If you don't have a referral certificate or go to a different place to see a doctor directly (sometimes it's urgent or too far to issue a referral certificate in time), you need to issue a residence certificate in the community where you live, such as renting here or living with your children. When submitting the reimbursement, bring all the materials in step 5, plus proof of residence.

Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law

Article 8 The medical expenses incurred by the insured in the agreed medical institutions shall be paid by the basic medical insurance fund in accordance with the provisions of the state if they meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards. 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.