Where are employees reimbursed for medical insurance and serious illness?

The employee's critical illness insurance will be reimbursed after the patient is discharged from hospital or transferred to another hospital. The insured person needs to hold a medical insurance card to see a doctor in a local designated medical institution or retail pharmacy, and the medical expenses incurred can be settled directly by the card. 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.

Employee medical insurance reimbursement process for serious illness medical insurance;

1, prepare social security card or medical insurance card, ID card, diagnosis and treatment list and other materials.

2. Submit corresponding materials to social security institutions or medical institutions and pharmaceutical business units.

3, by the social security institutions or medical institutions, drug business units audit;

4, after approval, in accordance with the relevant provisions of accounting, reimbursement.

To sum up, serious illness insurance is to reimburse the high medical expenses incurred by urban and rural residents due to serious illness, aiming at solving the problem of "poverty caused by illness and returning to poverty due to illness" strongly reflected by the masses, so that seriously ill families will not fall into economic difficulties. However, when reimbursing medical expenses, residents can only participate in the insurance smoothly if the materials are complete.

Legal basis:

People's Republic of China (PRC) social insurance law

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.