The clinic has already paid for itself. How to get social security?

The outpatient service participates in social insurance at its own expense as follows:

1, prepare the reimbursement materials first, and pay attention to them during the medical treatment to remind doctors that they need to reimburse themselves;

2. Go through the formalities and submit the materials to the medical insurance handling department of the local social security center, which will be reviewed by the counter service personnel;

3. Upon examination, if the reimbursement materials are complete and meet the medical insurance reimbursement conditions, the reimbursement procedures can be handled immediately.

The information required for outpatient medical insurance reimbursement is as follows:

If outpatient medical expenses are reimbursed through medical insurance, the materials we need to prepare include:

1, original ID card and social security card of the insured;

2. Proof of disease diagnosis in designated medical units;

3, outpatient medical records (including medical records, inspection fee list, inspection injury records, etc.). );

4. There should be receipts and invoices for outpatient charges of relevant medical institutions;

5. It is also necessary to have the original prescription issued by the hospital doctor;

6. In the case of reimbursement by the agent, the agent needs to bring the original ID card.

The proportion of medical insurance reimbursement is as follows:

1, students and children. In a settlement year, medical expenses below RMB 6,543,800+0,800 yuan that meet the scope of reimbursement occurred. The threshold for tertiary hospitals is 500 yuan, and the reimbursement ratio is 55%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no qifubiaozhun for first-class hospitals, and the reimbursement rate is 65%;

They are old people in their seventies. In a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, and the threshold for tertiary hospitals is 500 yuan, and the reimbursement ratio is 50%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no qifubiaozhun for first-class hospitals, and the reimbursement rate is 65%;

They are residents of other towns. In a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, and the threshold for tertiary hospitals is 500 yuan, and the reimbursement ratio is 50%; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.

To sum up, everyone will lose medical expenses, and the illness is unpredictable, so everyone needs to participate in basic medical insurance and enjoy medical insurance reimbursement.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.