Chengdu social security reimbursement scope

Insurance Bian Xiao helps you answer, and more questions can be answered online.

1, Social Security just bought it for 3 months.

Generally, you need to buy medical insurance for more than half a year to get support.

2. Group supplementary commercial medical insurance was purchased, and the basic medical insurance was used as the scope of reimbursement.

Right, something like that.

3. Outpatient service in 3A hospitals

General social security and commercial insurance clinics do not support reimbursement, which needs attention.

4. There are Chinese herbal medicines. Can you report them?

As long as it is the prescribed reimbursement details, it is of course possible.

5. Is there any conflict between social security reimbursement and commercial medical insurance reimbursement? Can we enjoy it at the same time?

You don't have to worry. Are you sure there is no conflict between the two? You can reimburse them at the same time.

However, it is necessary to pay attention to the reimbursement procedures: social security first (the original invoice must be used), and then commercial insurance (you can enjoy reimbursement with a copy).

6. What does social security reimbursement mean? Does it mean to pay the drug purchase fee directly with social security card or to reimburse it separately?

Well, the medical insurance card can be spent in designated pharmacies or outpatient clinics, and hospitalization can be paid with the overall account of the medical insurance center.

Medical insurance reimbursement needs to be submitted to the local medical insurance management center or the medical insurance checkout window of designated medical institutions.

Procedures include: my ID card, medical insurance card, original invoice, medication list, medical records and other materials.

Medical insurance reimbursement is carried out in proportion, generally floating around 70%. The proportion and amount of reimbursement are related to their own examination and medication, medical level and other factors. For example, it is clear that Class A drugs can enjoy full coverage, Class C drugs need to bear all the costs, and Class B drugs will report 80% and bear 20% of the costs.

Someone spent a total of 9000 yuan on medical expenses, and the reimbursement formula is as follows: (9000-500 "deductible"-self-paid medicine) *70%. If self-funded drugs account for a large proportion, there is not much amount to be reimbursed.

In addition, it is also important to go to designated medical institutions for medical treatment.

It is best to seek medical treatment at the place of purchase, and it is not supported to seek medical treatment elsewhere. You need to obtain the approval of the local medical management agency before you can seek medical treatment.

7. Can all diseases and drugs not covered by reimbursement be reimbursed?

Reimbursement not supported.