How to reimburse Tianjin Cheng Ju medical insurance?

The reimbursement process of urban medical insurance in Tianjin includes preparing reimbursement materials, submitting reimbursement applications, waiting for review and settlement.

First, prepare the reimbursement materials.

First of all, you need to prepare relevant medical expense vouchers, including medical expense receipts, prescriptions, checklists, hospitalization certificates, etc. These materials should record your medical expenses information in detail to ensure the accuracy and completeness of reimbursement.

Secondly, you need to provide your identification and proof of participating in Tianjin Cheng Ju medical insurance. Proof of identity can be valid documents such as ID card and household registration book, and proof of participation can be social security card, medical insurance manual, etc.

Second, submit an application for reimbursement

After preparing the reimbursement materials, you need to submit the reimbursement application to the designated medical insurance agency or online medical insurance service platform. When submitting the application, please check the authenticity and completeness of the materials to ensure the accuracy of the information.

If you choose to submit the application online, you need to fill in the relevant information and upload the reimbursement materials according to the requirements of the platform. If you choose to submit an application offline, you need to go to the window of the medical insurance agency and submit the materials to the staff.

Third, waiting for review and resolution.

After submitting the reimbursement application, the medical insurance agency will review your application. In the process of audit, if incomplete materials or incorrect information are found, the agency will inform you to supplement or correct them.

After approval, the agency will settle the expenses. According to the medical insurance policy, your medical expenses will be reimbursed according to a certain proportion. The reimbursement amount will be directly deposited into your designated bank account or paid to you by other means.

Fourth, matters needing attention

During the reimbursement process, please pay attention to the following points:

1. Ensure that your medical expenses are generated within the scope stipulated by the medical insurance policy;

2. Properly keep medical expense vouchers and identity certificates and other related materials;

3. Pay attention to the reimbursement progress in time, and contact the medical insurance agency in time if you have any questions or problems.

To sum up:

The reimbursement process of urban medical insurance in Tianjin includes preparing reimbursement materials, submitting reimbursement applications, waiting for review and settlement. In the process of reimbursement, we should ensure the authenticity and integrity of the materials and pay attention to the reimbursement progress. By following the relevant regulations and procedures, you can enjoy the benefits brought by the medical insurance policy smoothly.

Legal basis:

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

Article 27 provides that:

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Provisions of Tianjin Municipality on Basic Medical Insurance

Article 23 provides that:

The medical expenses incurred by the insured shall be paid by the basic medical insurance fund, serious illness insurance, medical assistance and other funds according to the treatment standards stipulated by the state and this Municipality, and the insufficient part shall be borne by the individual.