How to use medical insurance to see a doctor in Beijing

The medical insurance reimbursement process is as follows:

1. First of all, the applicant needs to apply for reimbursement;

2. Subsequently, submit the relevant application materials required for reimbursement, and the place where the materials are submitted is the Medical Insurance Section of the Social Security Branch of the Social Security Fund Administration required by the insured;

3, review the data, in line with the reimbursement conditions, according to the provisions of reimbursement;

4. Medical insurance reimbursement can be used for drug reimbursement and hospitalization reimbursement. When purchasing drugs for reimbursement, the cardholder can bring his ID card and social security card to the designated pharmacy, select the appropriate drugs, and then insert the card at the settlement office for reimbursement. Cardholders can bring their ID cards and social security cards to the designated hospital for reimbursement, and then directly use the social security card for reimbursement when they leave the hospital.

Medical insurance reimbursement conditions:

1. Participate in medical insurance: Only those who participate in medical insurance and pay medical insurance fees can enjoy medical insurance reimbursement;

2. Designated medical care: medical insurance stipulates designated medical institutions, and only patients who seek medical treatment in designated medical insurance can enjoy medical insurance reimbursement;

3. Reimbursement scope: medical insurance stipulates the scope of reimbursement, and only medical expenses within the scope of medical insurance can apply for medical insurance reimbursement;

4. Reimbursement ratio: medical insurance stipulates the reimbursement ratio of different medical expenses, and patients need to pay a certain fee according to the proportion stipulated by medical insurance;

5. Reimbursement limit: Medical insurance stipulates the reimbursement limit of different medical expenses, and the expenses exceeding the limit need to be paid by patients themselves;

6. Reimbursement application materials: the application materials required to apply for medical insurance reimbursement according to medical insurance regulations, including medical bills, expense lists, diagnosis certificates, etc.

To sum up, when applying for medical insurance reimbursement, you need to prepare complete reimbursement application materials, including medical bills, expense lists, medical insurance cards, etc. , and apply within the specified time. If you need to reimburse in different places, you also need corresponding supporting materials.

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.