How to apply for medical insurance if you fall?

The process of participating in the medical insurance plan is as follows:

1. Seek medical attention: In case of falls or other unexpected circumstances, seek medical attention as soon as possible. You can choose the nearest medical institution for treatment, or you can choose a designated medical institution that meets personal medical insurance for treatment.

2. Reimbursement: During the medical treatment, the doctor will issue relevant information such as examination, treatment and drug prescription, which needs to be collected, fill in the relevant reimbursement application form, and then submit it to the social security agency where the individual medical insurance is located for review and reimbursement.

3. Waiting for approval: After submitting the reimbursement application, you need to wait for the approval of the social security agency.

4. Receiving reimbursement: After the reimbursement application is approved, the social security agency will directly transfer the reimbursement to the personal bank account, and the individual can receive the reimbursement at the designated place within the specified time.

The information required for medical insurance is as follows:

1. Personal identification: including copies of valid identification documents such as ID cards and passports.

2. Household registration book or residence certificate: used to prove the household registration or residence of an individual, so as to determine the medical insurance area to which he belongs.

3. Medical insurance application form: including the original and photocopy of the medical insurance application form, with personal basic information, medical insurance types, insured areas, etc.

4. Work unit certificate: used to prove that an individual works in a certain unit, including the name of the unit, job position, working hours and other information.

5. Relevant expense vouchers: including relevant vouchers of medical expenses, such as medical receipts and expense lists, which are used for reimbursement.

To sum up, the scope and standards of medical insurance reimbursement are limited, and individuals need to know the types of medical insurance they participate in and the scope of reimbursement in order to better enjoy medical insurance benefits. At the same time, it is suggested to consult the medical insurance agency or professionals in time in order to better understand the medical insurance policy and related operational procedures.

Legal basis:

Article 30 of People's Republic of China (PRC) Social Insurance Law

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.