1. Before going to the hospital to see gynecological diseases, you should take the initiative to inform the hospital that you are insured by the local social medical insurance, and then show your personal medical insurance card and register the medical insurance card information, so that you can directly deduct the relevant expenses when you see gynecological medical expenses later;
2. Need to bring personal ID card, medical insurance card, medical expenses settlement list, invoices and other materials to the hospital outpatient fee office for reimbursement;
3. The hospital medical insurance window audit related materials and settlement, reimbursement into my medical insurance card;
4. If the medical expenses are deducted from the overall account in the medical insurance card, the personal part of the amount to be paid shall be directly deducted from the bank card.
Medical insurance reimbursement conditions:
1. Confirm the insured status: before seeking medical treatment, you need to confirm that you have participated in local medical insurance, which can be confirmed by means of social security card and medical insurance certificate;
2. Medical category: Medical insurance generally only reimburses therapeutic medical behaviors, such as outpatient service, hospitalization, surgery and examination. Some cosmetic medical behaviors, such as dental beauty and plastic surgery, are usually not covered by medical insurance reimbursement;
3. Medical expenses: Medical insurance will only reimburse medical expenses that meet the requirements, such as medical expenses, medicine expenses, examination expenses, operation expenses, etc. Personal expenses, medical insurance will not be reimbursed;
4. Hospital qualification: Medical insurance will only reimburse the medical expenses of legally operated medical institutions, such as public hospitals and qualified private hospitals. Medical insurance will not be reimbursed for illegal medical institutions or clinics.
To sum up, you can consult your local medical insurance institution or stomatological hospital.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.