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Shaoyang Medical Insurance Reimbursement Process
First, prepare materials.
1. The patient's valid ID and medical insurance card;
2. Original and photocopy of outpatient medical records (including outpatient prescriptions, inspection reports, diagnosis certificates, etc.). ) or hospital medical records (including the first page of hospital medical records, discharge summary, pathological diagnosis report, operation records, etc.). );
3 invoices, receipts and hospital settlement vouchers and their copies.
Second, the handling process
1. Reimbursement in local hospital: When reimbursing in local hospital, patients need to swipe their cards on the medical insurance self-service terminal and fill in the reimbursement information. After completing the reimbursement, the expenses will be settled, and the medical insurance will be reimbursed automatically, and the patient will pay the personal burden.
2. Off-site reimbursement: If the patient is not in the medical treatment place, it needs to be reimbursed through the designated hospital of off-site serious illness insurance or the window of social security bureau. Patients need to fill in the settlement voucher of serious illness insurance fee for outpatient service in different places and provide relevant materials. After the audit, the medical insurance part will be directly transferred to the patient's bank card.
Third, matters needing attention
1. The reimbursement application must be processed within 6 months after seeing a doctor, and it will not be reimbursed after the deadline;
2. Patients need to go to the local social security bureau for medical treatment in different places before seeking medical treatment in different places, otherwise they will not be reimbursed;
3. In case of reimbursement in different places, the medical insurance reimbursement shall be subject to the maximum reimbursement limit at the place where the patient visits, and the personal burden shall be subject to the reimbursement standard at the place where the patient is located.
The above is the medical insurance reimbursement process and matters needing attention in Shaoyang. I hope it will help you.
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