What materials are needed for medical insurance reimbursement?

The following materials are required for medical insurance reimbursement: 1, ID card and medical insurance card; 2, the disease diagnosis certificate issued by the designated medical institutions and outpatient medical records, inspection, test results report; 3. Charge documents and related invoices issued by medical institutions.

First, designated medical institutions

Designated medical institutions for basic medical insurance, including designated medical institutions and designated pharmacies, refer to institutions that have been audited by the medical security department in the overall planning area, obtained the qualification of designated medical insurance, been identified by the medical insurance agency and signed relevant agreements with them, and provided medical services for the insured of basic medical insurance and assumed corresponding responsibilities. According to the medical management regulations of the national basic medical insurance, the medical insurance implements the designated medical system, and the medical expenses incurred by the insured in the designated medical institutions are reimbursed according to the regulations.

Second, how to reimburse medical insurance?

1. Prepare the required materials: medical record, discharge record, disease diagnosis certificate, hospitalization list, invoice, copy of patient's ID card, copy of patient's local bank card (or family ID card is required if family bank card is used) (hospitalization list refers to the list of daily expenses incurred in hospitalization list. After I check out, I take the invoice to the window to print, and there is a special window. You don't have to copy it yourself if you print it out. It's no use keeping it for yourself. You only need to submit a copy to the medical insurance office. 2. Submit the data to the medical insurance reimbursement office for reimbursement. 3. Take your own receipt. If you have any questions, you can type the number on the invoice. If there is no problem, the amount of reimbursement will arrive within fifteen working days.

Third, the legal basis

According to the provisions of Article 29 of the Social Insurance Law, 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.