How to use the part paid by the medical insurance company?

Go to the social security bureau for reimbursement,

The full name of medical insurance is social medical insurance, which means that if you buy an insurance from the state, you can reimburse basic medical expenses. Medical insurance payment is divided into two parts, individual payment part and unit payment part. Individual contributions are 2% of the social security base, and unit contributions are 7% of the social security base. After the employer pays the medical insurance for the employees, the medical insurance will take effect in the next month, and the expenses incurred by the insured in the outpatient or inpatient treatment of the hospital can be reimbursed according to a certain proportion;

The insured person can be reimbursed according to a certain proportion after seeing a doctor in the outpatient department of the designated medical insurance hospital and the accumulated outpatient expenses reach the minimum Qifubiaozhun stipulated by the medical insurance.

The insured needs hospitalization. After the reasonable and necessary expenses are incurred, the medical insurance will also reimburse the expenses within the insurance scope. However, when reimbursing, everyone should pay attention to the fact that self-funded drugs and purchased drugs cannot be reimbursed.

Medical insurance reimbursement process paid by the company: bring the insured's valid ID card or medical insurance card, disease diagnosis certificate, medical information, outpatient bills and other related materials to the medical insurance department of the local social security center to apply for reimbursement.

After receiving the information, the staff will conduct a preliminary review of the information. If the information is complete and meets the requirements, they will start to go through the relevant procedures.

When applying for reimbursement of outpatient medical expenses, the applicant needs to deduct the amount transferred to the personal account of medical insurance in this social security year, and then verify the reimbursed amount according to the actual situation.

Legal basis:

1. Article 26 of the Social Insurance Law of People's Republic of China (PRC)

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

2. 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.

3. 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.