Job Recruitment Website - Social security inquiry - Is there a time limit for off-site reimbursement
Is there a time limit for off-site reimbursement
1, the cooperative medical reimbursement time is usually limited to the current year, the reimbursement of expenses across the year does not exceed one quarter, subject to local regulations;
2, the reimbursement of foreign medical reimbursement may be delayed, you need to wait patiently for 30 working days, you can consult with the local health insurance agency;
3, the hospitalization reimbursement is usually required to be completed in 6 months to one year, the specific period of time According to the local policy to determine;
4, rural health insurance reimbursement limit is generally one year, more than the period of time will not be reimbursed, off-site settlement needs to be completed within three months;
5, the reimbursement of the birth of a child in a different place is usually limited to six months, you need to apply for the registration record in advance;
6, health insurance reimbursement for the unit of the natural year, the end of the year before the need to submit materials, after reviewing the reimbursement to the social security card or bank card within three months. Reimbursement to the social security card or bank card;
7, after the record of foreign medical treatment, according to the provisions of the direct settlement or manual reimbursement, there is no validity period limit.
The reimbursement process of social security:
1. Prepare relevant materials: including ID card, social security card, original invoices of medical expenses, diagnostic certificates, etc.;
2. Submit the reimbursement application: bring the materials to the local social security agency or submit the reimbursement application through online channels;
3. Audit the materials: social security agencies will conduct an audit on the submitted materials to ensure the accuracy of information.
4. Reimbursement approval: after the materials are approved, the reimbursement will enter the reimbursement approval stage;
5. Reimbursement payment issuance: after the approval, the reimbursement payment will be issued to the bank account designated by the individual.
In summary, there is a time limit for reimbursement in different places, including cooperative medical reimbursement, reimbursement for medical treatment in different places, hospitalization reimbursement, reimbursement for rural medical insurance, and reimbursement for giving birth to a child in a different place. Different reimbursement programs have different time limits, which need to be determined according to local policies. Meanwhile, the medical insurance reimbursement is based on natural year, and the documents need to be submitted before the end of the year, and reimbursement will be made to the social security card or bank card within three months after the audit. After the record of foreign medical treatment, direct settlement or manual reimbursement can be made without validity period limit.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 29
The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
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