How to handle the second reimbursement of social security?

How to handle the second reimbursement of social security?

The second reimbursement of social security refers to the partial reimbursement of medical expenses through social medical insurance and the second reimbursement through other channels. The specific procedures and legal basis are as follows:

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I. social security reimbursement process

1. Reimbursement of medical expenses: When a patient goes to see a doctor, he/she will use the social medical insurance card to settle the expenses first, and the medical institution will make the initial reimbursement according to the proportion stipulated by social security.

2. Obtain reimbursement vouchers: The reimbursement vouchers provided by medical institutions include expense lists and medical insurance reimbursement vouchers.

3. Reimbursement by social security agencies: Patients submit reimbursement vouchers to social security agencies, and social security agencies will reimburse social medical insurance for the first time.

Second, the social security secondary reimbursement process

1. Collect the secondary reimbursement data: patients need to collect the detailed list of medical expenses, social security initial reimbursement vouchers and other documents that may be needed.

2. Choose the second reimbursement method: patients can choose to submit the data to other medical insurance or commercial insurance institutions for second reimbursement, or they can choose individuals to pay in advance and recover from relevant departments.

3. Submit the secondary reimbursement data: submit the collected data to the selected secondary reimbursement organization and fill in the application form according to its requirements.

4. Waiting for approval: the second reimbursement agency will review the materials to ensure that the expenses are true and legal, and then handle the second reimbursement.

To sum up:

The second reimbursement of social security requires patients to collect relevant information and choose a suitable second reimbursement institution after the first reimbursement. The legal basis mainly involves People's Republic of China (PRC) Social Insurance Law, People's Republic of China (PRC) Medical Insurance Law and People's Republic of China (PRC) Social Medical Insurance Law. The specific procedures can be adjusted according to local social security policies and regulations.

Legal basis:

1. People's Republic of China (PRC) Social Insurance Law: The social insurance law is the legal basis for the management of social medical insurance. Article 52 stipulates the scope and process of reimbursement of social medical insurance.

2. People's Republic of China (PRC) Medical Security Law: The Medical Security Law provides detailed provisions on the medical security system, including the management and reimbursement of social medical insurance.

3. People's Republic of China (PRC) Social Medical Insurance Law: The Social Medical Insurance Law specifies the basic system and operating mechanism of social medical insurance in detail, and defines the process and conditions of reimbursement.