Foshan medical insurance reimbursement is how to reimburse

The process of medical insurance reimbursement for the insured: 1, the processor submits the reimbursement documents and other materials to the social security agency to apply; 2, the receiving department receives the application materials, audit and other work; 3, social security agency approves the application, the applicant receives the social medical insurance medical expense reimbursement bill, and then reimbursement.

Article 28 of the Social Insurance Law

Medical expenses that are in line with the basic medical insurance drug directory, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 30

The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:

(1) those that should be paid from the Workers' Compensation Insurance Fund;

(2) those that should be borne by a third person;

(3) those that should be borne by the public ****health;

(4) those who seek medical treatment abroad.

Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.