How to reimburse Chengdu medical insurance card clinic?

First paid by the individual, after discharge, with the discharge certificate, medical invoice and all expenses list of the designated hospital.

There are two ways to reimburse the basic medical insurance for urban residents:

(1) online settlement

When the insured person visits a designated medical institution that has implemented online hospitalization settlement or quotation settlement, he only needs to pay part of the expenses that should be paid by the individual at the charging window of the designated hospital, and the rest of the expenses shall be settled with the designated medical institution by the social security center according to the regulations.

(2) Full payment.

The medical expenses incurred by the insured in the medical institutions that have not yet implemented online settlement shall be paid by the individual in advance. After discharge, register with the town labor security service center and its community labor security workstation with the discharge certificate, medical invoice and list of all expenses of designated hospitals, summarize the reimbursement data, and submit them to the social insurance agency for review and settlement. The social insurance agency shall complete the settlement within the specified time and pay the medical expenses for reimbursement according to the regulations. Reimbursement procedure

After the insured patients are discharged from the hospital, they should submit a copy of ① medical record home page (stamped with the seal of hospital medical insurance department), ② discharge summary, ③ receipt of hospitalization expenses, ④ detailed list of hospitalization medical expenses (one-day list), ⑤ copy of medical insurance cash payment form, ⑤ discharge certificate and ⑤ copy of ID card to the community every month before/kloc-0.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.

The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get necessary material help from the society, reduce the burden of medical expenses, and prevent sick social members from "poverty due to illness".

Most hospitals can settle accounts online. Inpatients only need to carry their ID cards and medical insurance cards, go through the relevant formalities at the admission office, and can settle accounts directly when they leave the hospital. Patients only need to pay the remaining hospitalization expenses.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 4

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require 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. second

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 get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.