Where is Fuyang medical insurance reimbursement?

Medical insurance is a policy of benefiting the people. We must study and make good use of the good policies given to us by the party and the state, and don't cause unnecessary losses because of our ignorance.

1. Where is the medical insurance reimbursement?

1. If the patient is hospitalized in a local designated medical institution, the hospital will automatically deduct the medical insurance reimbursement for you when you check out.

2. Those who are treated in the local medical insurance designated place but not hospitalized, or who receive radiotherapy and chemotherapy, but are not reimbursed in the hospital, can bring the official invoice, medical diagnosis, medication list, social security card or medical card issued by the hospital to the medical insurance window of the local administrative service center for reimbursement.

3. Those who have been treated in other medical institutions and have a referral certificate must submit all the treatment invoices, hospital diagnosis certificate, hospitalization certificate, ID card, social security card, medication list and medical records to the medical insurance window where the household registration (medical insurance) is located before 65438+February 3 1 every year.

4. If you don't have a referral certificate or go to a different place to see a doctor directly (sometimes it's urgent or too far to issue a referral certificate in time), you need to issue a residence certificate in the community where you live, such as renting here or living with your children. At the time of reimbursement, all treatment invoices, hospital diagnosis, hospitalization certificate, ID card, social security card, medication list, medical records and other materials before 65438+February 3 1 each year, together with residence certificate, are brought to the medical insurance window where the household registration (medical insurance) is located for reimbursement.

Second, Changsha medical insurance reimbursement process

Local hospitalization reimbursement

1. The applicant has gone through the insurance formalities and paid the medical insurance premium in full.

2, cooperative medical designated medical institutions for medical treatment;

3. The medical expenses incurred by the insured for hospitalization in medical institutions, and cash in advance.

Local hospitalization reimbursement

1, the insured person should seek medical treatment in the designated medical institution, and the hospitalization medical expenses will be paid with the medical insurance card (ID card or household registration book, if the medical insurance card has not been obtained, it can be settled directly at the settlement window of the designated hospital) when leaving the hospital.

2, not in designated hospitals for medical treatment or hospitalization medical expenses will not be reimbursed.

Reimbursement for hospitalization in different places

1. If the insured person is sick in a tertiary hospital (or specialized hospital) in this city, it is difficult to make a diagnosis or there is no treatment, and he may apply to be transferred to a different place for hospitalization.

2, transfer must fill in the application form, signed by the designated hospitals above the third level in our city, and reported to the municipal medical insurance agency for examination and filing before being transferred to hospital for treatment.

3, the insured sudden illness in different places really need to be hospitalized in the local designated medical institutions, within 3 days after admission to the municipal medical insurance center for the record.

4, transfer and off-site emergency medical expenses paid by individuals, within one month after discharge to the city medical insurance center for reimbursement.

Reimbursement materials: transfer approval form; Detailed list of hospitalization expenses; Invoice documents; Summarize the discharge situation and save relevant documents and materials.

The above is the whole content of this article. It should also be noted that the situation of medical insurance reimbursement may be different from place to place. Some can be directly settled in different places, and some can be settled across provinces. You should ask the local social security department for details.

Legal objectivity:

"People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations. 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, the scope of medical service facilities and the standard of emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations. "People's Republic of China (PRC) Social Insurance Law" Article 31 Social insurance agencies may sign service agreements with medical institutions and pharmaceutical business units to standardize medical services according to the needs of management services. Medical institutions shall provide reasonable and necessary medical services for the insured.