How does Chengdu Social Security reimburse medical expenses?

How to reimburse social security and medical insurance in Chengdu is closely related to our daily work or life. So, you can't just hear about it, but you don't know how. The following small series has compiled some related contents to share with you. Welcome to read, I hope it will help you. 1. How is the social security and medical insurance in Chengdu reimbursed? (1) outpatient medical insurance reimbursement 1. The agent will submit the reimbursement documents and other materials to Chengdu Insurance Fund Administration for acceptance; 2. After receiving the application materials, the accepting department will complete the examination, settlement and payment on the same day; 3, the social insurance fund management bureau to review the materials and approve the application, the applicant to receive the "social medical insurance medical expenses reimbursement form", be reimbursed. (2) The hospitalization medical insurance reimbursement can be settled directly in the medical insurance reimbursement window. II. Use of Chengdu Social Security Card 1. It records the relevant information of residents' social security. Identify the cardholder's personal employment status, record the cardholder's social insurance account information, payment, professional skills, employment experience, work-related injuries, occupational diseases, degree of disability, etc. 2. Record the insured's name, ID number, date of birth, gender, nationality, household registration and other basic information, and record the cardholder's name, gender, citizenship number and other basic information on the card surface for future reference. 3. It can be used to query the payment of residents' pension insurance, unemployment insurance, medical insurance, industrial injury insurance and maternity insurance. Query the accumulated amount of endowment insurance and medical insurance. 4. Cardholders can take their cards to designated hospitals for medical treatment, purchase medicines at designated pharmacies for medical insurance, and settle personal accounts for medical insurance. It is worth noting that the social medical insurance card of the insured residents can be swiped on the POS machine with the password, but it is not allowed to withdraw cash or transfer money. 5. If the insured person is unemployed, he can go through the formalities of job registration and unemployment registration with the relevant departments, apply for unemployment insurance money and apply for employment training; 6. The insured person can hold a card to handle social security affairs such as medical care, unemployment, pension, work injury and maternity, and receive social security affairs such as pension. 7. Insured individuals can also apply for labor ability appraisal with their cards and enjoy treatment of work-related injury insurance. 8. Cardholders can also use social medical insurance cards to inquire about relevant information online. Third, can Chengdu social security card seek medical treatment in different places? Yes The process of using in different places: first put on record, select points, and hold a card for medical treatment. The first step: filing first means that the insured person needs to file with the agency in the insured place before going to the provincial medical treatment, and the agency collects the necessary information. At present, we have a national unified filing form. It is clear that there are two key messages. First, it is necessary to clarify the reasons for filing, whether it is to go out for permanent residence or resettlement in different places, or to work outside, or to be referred to other hospitals, and tell the agency the reasons. The second is where to go. After the agency collects these two key information, it will be transmitted to the national settlement system, relevant regions and medical institutions, and other information such as name and card number are available, so it is not necessary to collect them separately. Step 2: Choosing a point means that people need to choose designated medical institutions (note that they are designated medical institutions across provinces), such as choosing to go to Beijing and Shanghai for medical treatment, designated medical institutions across provinces and medical treatment in different places in these places. You can find out which institutions, what level and where they are in real time on the published website. The range of medical institutions that the insured can choose from different places is increasing. Step 3: The most critical step of holding a card for medical treatment is to hold a card for admission registration and discharge settlement. Patients must use social security cards, and they must hold cards for admission and settlement. Whether employees are insured by medical insurance, urban residents or rural residents, they can enjoy direct settlement of inter-provincial hospitalization expenses as long as they are filed according to regulations and perform corresponding procedures. The above content is Bian Xiao's detailed introduction on how to reimburse Chengdu social security and medical insurance according to the current relevant national laws and regulations. If you have any questions about the above contents, please consult relevant websites or departments! If you need more legal answers, you can consult a lawyer online!

Legal objectivity:

"People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations. Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations. "People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.