How to reimburse individual self-paid medical insurance?

1. First, pay for medical insurance at your own expense. There are two cases of reimbursement: one is reimbursement by bill; Second, the hospital directly settled with social security. Either way, reimbursement should be made according to the corresponding specified time and information. 2. Without social security card, medical expenses can't be reimbursed. If you don't bring the medical card and other relevant documents when you are hospitalized, you can stay in the hospital at your own expense temporarily, and then change your medical insurance after you bring the relevant documents.

Details of self-funded reimbursement are as follows:

1, which belongs to the self-paid part within the scope of medical insurance reimbursement, including the amount below the deductible line and the individual self-paid part after medical insurance reimbursement above the deductible line, and the self-paid part is not within the scope of medical insurance reimbursement;

2. Medical insurance reimbursement is usually not 65,438+0,000% reimbursement, but a certain amount of self-funded drugs and articles should be deducted. According to the drug list, there are three types of drugs, A, B and C, which are the most reimbursed. C may be completely or mostly at its own expense, and some inspection items are also at its own expense;

3. In reportable items, a deductible line should be deducted first, usually several hundred yuan, and the excess medical expenses can be reimbursed;

After deducting the deductible, you may only be reimbursed a certain percentage, such as 20%, 50%, 90%, etc. , the rest is paid by the individual;

5. There is also a capping line. The maximum reimbursement amount cannot exceed the ceiling, which is generally tens of thousands of yuan. The part above the capping line should also be paid by individuals or other medical assistance.

Legal basis: Interim Measures for Special Additional Deduction of Individual Income Tax Article 13 Taxpayers shall keep the original (or photocopy) of bills related to medical service charges and medical insurance reimbursement for future reference. The medical security department shall provide patients with the information inquiry service of their annual medical expenses recorded by the medical security information system.