1. The medical insurance reimbursement process for accidental falls is divided into the following steps: medical treatment, reimbursement application, reimbursement review and reimbursement settlement. When seeking medical treatment, you need to hold a medical insurance card and ID card, and choose a designated medical institution with medical insurance for treatment. After the treatment is completed, the patient needs to ask the hospital for diagnosis certificate, medical expenses list and other materials.
2. Go to the social security center to apply for reimbursement. The reimbursement review is conducted by the social security center. After the approval, the social security center will transfer the reimbursement to the patient's personal medical insurance account. Finally, patients can use the balance in the personal medical insurance account for settlement, or they can choose bank transfer.
Problems needing attention in medical insurance reimbursement for accidental falls;
1, that is, choose appropriate medical institutions, and try to choose medical institutions designated by medical insurance for treatment, so as not to affect reimbursement.
2, need to pay attention to medical diagnosis certificate, medical expenses list and other materials, so as not to omit the necessary materials and lead to reimbursement failure.
3. Pay attention to the balance of the medical insurance account and go through the reimbursement procedures in time to avoid the settlement due to insufficient account balance.
The application materials and process of medical insurance reimbursement for trauma include the following steps: first, you need to prepare relevant application materials, including medical expense invoices, diagnosis certificates, diagnosis certificates and identification certificates. Then, you need to fill out the medical insurance reimbursement application form and submit all the materials to your social security bureau or medical insurance center. Next, the social security bureau or the medical insurance center will review your materials to confirm whether they meet the reimbursement conditions. Once approved, your medical expenses will be reimbursed according to the prescribed proportion. The whole process usually takes some time. You can consult the social security bureau or the medical insurance center for the specific processing time and method. Remember to keep all the application materials and related documents in the process of handling for future inquiry and verification.
To sum up, the process of medical insurance reimbursement for accidental falls involves many links, and patients' active cooperation and reasonable choice are needed to ensure the realization of medical insurance reimbursement rights. At the same time, we need to pay attention to the changes of medical insurance policies and keep abreast of the latest medical insurance policies and regulations in order to better protect our health and rights.
Legal basis:
People's Republic of China (PRC) Social Insurance Law;
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.