How to reimburse Shanghai medical insurance card how to reimburse Shanghai medical insurance?

1. How much medical insurance can I apply for if I get sick? First, you can only report if you are hospitalized in a designated medical institution with medical insurance. Secondly, I must fill in the medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, standard scope of medical service facilities and payment standards. The reimbursement standard is: the total amount of one-time hospitalization medical expenses-Qifubiaozhun-expenses beyond the scope of basic medical care-20% of expenses borne by individuals first) × [(75

2. What should I do if I am sick and hospitalized? You need to hold an ID card when you are hospitalized, and the social security card will be used directly when you are hospitalized. Complete the reimbursement and settlement of hospitalization expenses directly when leaving the hospital. If you can't swipe your card for hospitalization due to special circumstances, you need to go to the Municipal Social Security Bureau with your ID card, social security card and admission ticket within three days of admission, and complete the reimbursement and settlement of hospitalization expenses directly in the hospital after discharge. If you can't handle the special account form for special reasons, you need to pay the hospitalization expenses in full first, and then submit my ID card, social security card, discharge certificate, list, invoice reimbursement and original compound prescription to the Social Security Bureau for reimbursement of medical expenses after discharge. After discharge, those who stay in the city for more than two months and stay outside the city for more than three months will not be settled.

3. How to reimburse medical expenses incurred in different places: Reimbursement shall be made according to the specific provisions of the medical insurance measures where the insured person is located. Generally, in the case of rescue, the nearest diagnosis and treatment is allowed. After treatment, with the valid certificate issued by the treatment hospital, the local medical insurance agency will be reimbursed according to the regulations. Outpatient treatment of three kinds of special diseases: when the insured needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured sees a doctor will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing. Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement.