What materials are needed for emergency insurance reimbursement?

The invoice of hospitalization and some hospitalization manuals prove that the following materials are required: If you don't use social security card to pay for emergency, you need to submit the hospitalization receipt, prescription and medical certificate to the social security bureau for reimbursement. If the medical expenses incurred meet the scope of reimbursement, you can bring relevant materials (outpatient medical records, invoices, social security cards, ID cards, etc.). ) go to the local community health service center for reimbursement according to the process.

Inpatients: 120 original receipt, copy of pre-hospital first aid, drug list, discharge summary, copy of hospitalization settlement receipt, and medical insurance card.

1, the patient who died in the field first aid or transshipment, died in the emergency room, and died in the hospital after being rescued by pre-hospital emergency personnel.

2. Patients transferred after on-site first aid shall be reimbursed if they meet the following emergencies. The reimbursement scope of emergency medical insurance includes: acute cerebral hemorrhage, acute massive cerebral infarction, acute heart failure, acute myocardial infarction, severe arrhythmia, hypertensive crisis, pulmonary embolism, pneumothorax, acute shock, coma, status asthma, status epilepticus, massive hemoptysis, upper gastrointestinal bleeding, functional uterine bleeding, emergency operation acute abdomen, acute severe poisoning, moderate and above burns. Other diseases are not reimbursed.

3. After the on-site first aid, the patients who failed to be hospitalized will not be reimbursed.

Legal basis:

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

Twenty-third employees should participate in the basic medical insurance for employees, and the employer and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-sixth 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.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.