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The reimbursement process of medical insurance in Xianning city in different places
Xianning residents' medical insurance reimbursement in different places refers to the outpatient or inpatient treatment of acute and chronic diseases caused by the insured in this city at home and abroad, such as traveling, visiting relatives, working and studying, and can apply for reimbursement at the place where residents' medical insurance pays. The specific process is as follows: 1. Referral procedures: before seeking medical treatment in different places, you need to go to your social security bureau to go through the hospitalization referral procedures. 2. See a doctor and collect relevant information: Go to a designated hospital and collect relevant bills, documents and inspection reports. At the same time, it should be noted that when seeking medical treatment in different places, you need to choose Xianning resident medical insurance designated hospital, and handle the settlement voucher at the hospital medical insurance window or self-service machine before seeing a doctor. 3. Apply for reimbursement: go back to the place where residents pay medical insurance, apply for reimbursement to the Social Security Bureau, and submit the collected relevant materials together. 4. Review and receive reimbursement: After the Social Security Bureau has passed the review, the reimbursement will be transferred to the bank card designated by the patient. It should be noted that it is necessary to choose Xianning resident medical insurance designated hospital for medical treatment in different places, otherwise it may not be possible to apply for reimbursement. At the same time, you also need to apply for settlement vouchers for reimbursement in the medical insurance window or self-service machine of the selected hospital.
What materials need to be prepared? The specific materials required vary from person to person, generally including medical invoices, outpatient medical records, inpatient medical records, doctor's diagnosis certificates, inspection reports, etc. Different regions have different requirements for materials, so it is recommended to consult the local social security bureau in advance.
The purpose of reimbursement for medical treatment in different places is to facilitate the insured to obtain medical security when seeking medical treatment in different places. However, it is necessary to go through the referral procedures in advance, choose the designated hospital of Xianning residents' medical insurance, and bring the collected bills, documents and inspection reports back to the local area for timely reimbursement.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.
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