Job Recruitment Website - Social security inquiry - How to reimburse outpatient special diseases?
How to reimburse outpatient special diseases?
The medical expenses incurred by the insured in non-designated medical institutions or designated medical institutions outside the city shall be paid by the insured himself.
You can go to Jinan social security agency for reimbursement with the required information.
The confirmation of special diseases requires doctors to write down the patient's condition, affix the seal of the hospital outpatient service, and record the number of confirmed outpatient treatment.
After all these are ready, bring your ID card and medical insurance card to the local medical insurance institution for registration. After the medical insurance institution is approved and registered, it can make daily reimbursement.
You need to bring outpatient social security card, medical record, expense invoice and outpatient expense details when reimbursing. When the information is ready, it can be reimbursed.
Only the registered attending doctor of the hospital signs the outpatient list can be reimbursed.
legal ground
People's Republic of China (PRC) social insurance law
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity. Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units. Article 6 The State exercises strict supervision over social insurance funds.
The State Council and the people's governments of provinces, autonomous regions and municipalities directly under the Central Government shall establish and improve the supervision and management system of social insurance funds to ensure the safe and effective operation of social insurance funds.
People's governments at or above the county level shall take measures to encourage and support all sectors of society to participate in the supervision of social insurance funds. Article 7 The administrative department of social insurance in the State Council is responsible for the management of social insurance throughout the country, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties.
The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.
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