The operation method on the medical insurance referral mobile phone is as follows:
1. Download the medical insurance mobile APP: Search and download the medical insurance mobile APP in the mobile app store, install and open it;
2. Enter the medical insurance referral interface: On the homepage of the medical insurance mobile APP, find the "Referral" function entrance and click to enter the referral interface;
3. Select a medical institution: Select the need as needed The medical institution for referral can be selected through search, positioning, etc.;
4. Fill in the referral application: Fill in the referral application form, including condition description, required examinations, treatment and other information, and submit the application ;
5. Waiting for review: After submitting the referral application, you need to wait for review by the medical insurance agency, which usually takes 1-2 working days;
6. Notification of review results: Review results Notifications will be sent through the mobile APP. If the review is passed, referrals can be made based on the review results.
Conditions for medical insurance reimbursement:
1. Confirm insured status: Before seeking medical treatment, you need to confirm that you have participated in local medical insurance. This can be confirmed through social security cards, medical insurance certificates, etc. ;
2. Category of medical treatment: Medical insurance generally only reimburses for therapeutic medical activities, such as outpatient service, hospitalization, surgery, examination, etc. Some cosmetic medical behaviors, such as dental cosmetology, plastic surgery, etc., are usually not covered by medical insurance reimbursement;
3. Medical expenses: Medical insurance will only reimburse medical expenses that meet regulations, such as diagnosis and treatment fees, Drug fees, examination fees, surgery fees, etc. Medical insurance will not reimburse for personal expenses;
4. Hospital qualifications: Medical insurance will only reimburse medical expenses for legally operated medical institutions, such as public hospitals and qualified private hospitals. Illegal medical institutions or clinics will not be reimbursed by medical insurance.
To sum up, you can consult your local medical insurance agency or dental hospital for more information.
Legal basis:
Article 28 of the "Social Insurance Law of the People's Republic of China"
Comply with the basic medical insurance drug catalog, diagnosis and treatment items, Standards of medical service facilities and medical expenses for emergency and rescue services shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29
The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit .
The social insurance administrative department and the health administrative department should establish a medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.