Job Recruitment Website - Social security inquiry - Where did the hospitalization reimbursement go?

Where did the hospitalization reimbursement go?

Go to the medical insurance business management center for reimbursement. After the insured is discharged from the hospital, the hospitalization invoice, discharge record, expense list, referral certificate, ID card or copy of household registration certificate signed or sealed by himself shall be handed over to the township joint management office, which shall be sent to the municipal medical insurance business management center in a centralized and unified way after examination. Unrecorded medical expenses and medical treatment items that are not reimbursed by medical insurance for urban workers are not included in the scope of reimbursement.

How much hospitalization reimbursement can social security reimburse is as follows:

(1) The medical expenses above 1800 yuan can only be reimbursed after the on-the-job employees go to the hospital for emergency treatment, and the reimbursement rate is 50%.

(two) retirees under the age of 70, more than 1300 yuan can be reimbursed, the reimbursement rate is 70%. (3) For retirees over 70 years old,1.The expenses above 300 yuan can be reimbursed by 80%. Social insurance refers to a non-profit social security system with income redistribution function, which is used by the state to prevent and force most social members to participate.

Social insurance is a social and economic system that provides income or compensation for those who lose their ability to work, are temporarily unemployed or suffer losses due to health reasons.

What materials are needed for medical insurance reimbursement? You need to bring the following materials when reimbursing:

(a) the original identity card or social security card;

(two) the original certificate of disease diagnosis issued by the designated medical institutions;

(3) Original medical data such as outpatient medical records, inspection and test results reports;

(four) the original receipt of outpatient charges of medical institutions with unified finance and taxation;

(5) The detailed list of outpatient expenses printed by the hospital computer or the original doctor's prescription;

(6) Designated pharmacies: unified original invoices and computer-printed sales lists of duty-free goods;

(seven) for handling, it is necessary to provide the original ID card of the agent.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 27 of People's Republic of China (PRC) Social Insurance Law

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; 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.

Article 28

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

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and 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.