How to get reimbursed when your health insurance card doesn't pass the threshold fee

How to get reimbursed if your health insurance card doesn't meet the threshold fee

When your medical expenses don't meet the threshold fee for health insurance, you can still be partially reimbursed through your health insurance. The exact reimbursement rate and amount will vary according to regional health insurance policies.

First, you need to understand the health insurance policy of your region, including the threshold fee, reimbursement rate, reimbursement scope and other information. This information can be obtained by consulting your local social security department or checking the social security website.

Save your medical invoices and prescriptions

During your visit to the doctor, be sure to save your medical invoices and prescriptions. These vouchers are an important basis for you to apply for reimbursement from your health insurance.

Three, fill out the health insurance reimbursement application form

Fill out the health insurance reimbursement application form according to the requirements of the local social security department. When filling out the application form, you need to provide basic personal information, details of medical expenses and so on. If there is any uncertainty, you can consult the staff of the social security department.

Fourth, submit the reimbursement application

Submit the completed reimbursement application form and related vouchers to the local social security department. The social security department will review and process your application.

V. Wait for the review result and receive the reimbursement

Wait for the social security department to review your reimbursement application. If approved, you will receive your reimbursement. The exact time and manner of receipt will vary by region.

In summary:

Even if your medical expenses do not meet the Medicare threshold fee, you can still be partially reimbursed through Medicare. Be aware of your local health insurance policy, keep your medical expense invoices and prescriptions, fill out and submit the health insurance reimbursement application form as required, and wait for the result of the audit and receive the reimbursement.

Legal basis:

Article 30 of the Social Insurance Law of the People's Republic of China stipulates that the following medical expenses are not included in the scope of payment of the basic medical insurance fund: (a) they should be paid from the Workers' Compensation Insurance Fund; (b) they should be borne by the third party; (c) they should be borne by the public ****health; and (d) they should be paid for by the medical treatment outside China. If the medical expenses should be borne by a third person in accordance with the law, and the third person does not pay or the third person cannot be identified, the basic medical insurance fund shall pay in advance. After the basic medical insurance fund pays first, it has the right to recover from the third party.