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Can neonatal medical insurance be reimbursed for medical treatment in different places?
1. Confirm that there is an inter-provincial settlement agreement between the medical treatment place and the household registration place. If there is no agreement between the two places, the expenses cannot be reimbursed through medical insurance;
2. Provide relevant medical certificates and reimbursement materials. Medical insurance reimbursement needs to provide birth certificate, hospitalization certificate, medical expenses list and other related materials;
3. Apply for reimbursement within the specified time. Under normal circumstances, medical insurance reimbursement needs to be applied within a certain period of time after medical treatment, and the specific provisions of different regions and different medical insurance institutions may be different.
The reimbursement process of medical insurance for newborns in different places;
1. Confirm that there is an inter-provincial settlement agreement between the medical treatment place and the household registration place. If there is no agreement between the two places, it is necessary to sign an agreement first;
2. During medical treatment or before discharge, ask the hospital to provide birth certificate, hospitalization certificate, medical expense list and other relevant medical certificates and reimbursement materials;
3. Submit relevant medical certificates and reimbursement materials to the local medical insurance institution within the specified time, and apply for reimbursement. Need to fill in the relevant reimbursement application form and provide true and effective information and materials;
4, medical insurance institutions to submit the reimbursement materials for review and processing, and reimbursement within the prescribed time.
To sum up, different regions, different medical insurance institutions and newborn medical insurance may have different specific reimbursement standards and processes in different places, which need to be operated according to local regulations. When making medical insurance reimbursement, it is necessary to provide true and effective materials and information, abide by relevant policies and regulations, and avoid unnecessary disputes and losses.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 26
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 28
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.
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