How does social security reimburse hospitalization reimbursement process?

Medical treatment in different places needs to be approved by relevant departments first. The examination and approval place for resettlement in different places is the county medical insurance center where the insured unit or street social security is located. After applying for the relevant approval form, fill in the relevant contents.

Take the relevant documents to the medical insurance department of a different hospital and stamp them. Then return the relevant approval form to the applicant for approval.

The time limit for approval in different places is generally one year, that is, from the date of handling to the date of the second year. You can't change it within a year. If the approval period has passed, the parties who are still in different places need to go to the relevant departments for re-approval.

For the parties in different places, it is essential to choose a different hospital. The regulations on how many hospitals patients can choose in different regions are different. Generally, you can choose two or three.

For the medical expenses incurred by the parties in designated hospitals in different places, the relevant reimbursement documents will be mailed back to the original city for reimbursement, or family members can be asked to help reimburse in the original city. Issues such as reimbursement standards will still be in accordance with the regulations of the city, and relevant funds can be collected by family members or related accounts can be set up.

Medical expenses of individual medical insurance accounts can be transferred to Zigui Medical Insurance Bureau regularly, and hospitals in other provinces should be designated hospitals for local medical insurance.

The reimbursement ratio shall be handled according to the document number. The law is [200 1] 13, and the threshold fee is 3000 yuan 88%, 3000-5000 yuan 90%, 5000- 1000 yuan 92%, 10000 yuan.

To seek medical treatment in a different place, you need to go to an outpatient clinic or hospital and issue receipts, lists, prescriptions, details, medical insurance manuals and case diagnosis certificates for related expenses. At the same time, it is necessary to issue the registration certificate of the hospital where the doctor is located, so that the employer, the social security office and the district/county medical insurance center can make statistical summary and audit settlement.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.