How to reimburse Chengdu medical insurance

Individuals begin to enjoy medical insurance benefits after six months of continuous payment for the first time.

Unemployed persons who participate in (continue) medical insurance during the period of receiving unemployment insurance benefits or within 60 days after receiving unemployment insurance benefits shall enjoy medical insurance benefits from the month following the payment.

Second, the handling of materials:

Reimbursement of hospitalization expenses in designated medical institutions:

1. Summary of overall payment of hospitalization expenses;

2. Statement on overall payment of hospitalization expenses (the hospital must build official seal);

3. Hospitals that are not connected to the Internet must open special accounting forms, and hospitals connected to the Internet must open special accounting forms under special circumstances;

4. Special bills for hospitalization fees supervised or supervised by financial and tax departments;

5. List of expenses signed and approved by patients or their families;

6. Chinese medicine compound;

7. Proof of discharge conditions.

Third, the handling process:

1. The agent submits the reimbursement documents and other materials to the Dark Grey Insurance Fund Administration for acceptance;

2. After receiving the application materials, the accepting department shall complete the examination, settlement and payment on the same day;

3. After the Social Insurance Fund Administration has reviewed the materials and approved the application, the applicant will receive the "Social Medical Insurance Medical Expense Reimbursement Form" and be reimbursed.

Note: If the application materials are incomplete and all contents need to be corrected, the applicant shall correct the materials within 5 days from the date of receiving the Notice of Corrected Materials. If no correction is made within the time limit, the application shall be deemed to have been withdrawn.

However, after the materials are corrected, the applicant may reapply within the statutory validity period. The applicant shall be reimbursed after receiving the Social Medical Insurance Medical Expense Reimbursement Form.

Fourth, the reimbursement ratio:

Reimbursement ratio of urban medical insurance:

92% in first-class hospitals, 90% in second-class hospitals and 85% in third-class hospitals, with an increase of 2% at the age of 50, 4% at the age of 60, 89% at the age of 60 (third-class), 6% at the age of 70 and 8% at the age of 80, with the same increase rate, not exceeding 100%.

Proportion of medical insurance reimbursement for urban and rural residents:

Grade payment hospital level 1, level 2 and level 3.

First gear 10065%60%55%35%

Second gear 20090%80%65%50%

Third gear 30090%85%80%65%

Student 12090%80%65%50%

Provincial medical insurance reimbursement ratio:

On the basis of the payment ratio formula (age *0.2+75)÷ 100, the age of 50-59 will increase by 2%, and the age of 60-69 will increase by 4%. For example, 87%+4% for 60 years old = 91%,6% for 70-79 years old and 80-89 years old.

Verb (abbreviation for verb) addresses:

Chengdu Medical Insurance Management Bureau

Address: Social Security Building, No.4, North Section 1, Second Ring Road, Chengdu

Tel: 028-8770625 1

Urban and Rural Medical Treatment and Work Injury Insurance Department (Chengdu Human Resources and Social Security Bureau)

Address: Building 3, No.366 Jincheng Avenue, High-tech Zone, Chengdu

Tel: 028-6 18882 17.

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