1. If you want to use medical insurance for reimbursement, you must use your own medical insurance card when registering, and the cardholder of the medical insurance card must be yourself;
2. Go to the doctor's office with the registration form just now, the doctor will prescribe medicine, and the patient can pay with the doctor's prescription;
3. Go to the payment window of the hospital, wait for the staff to settle the corresponding expenses, then pay the bill yourself and give the social security card to the staff. The staff will use the social security card to help you reimburse your medical expenses. Many drugs are within the scope of national reimbursement, and some are not within the scope of medical insurance reimbursement, so they must be paid at their own expense.
Information required for reimbursement:
1, outpatient reimbursement information: outpatient invoice, cooperative medical certificate or medical record;
2. Bring all hospitalization reimbursement materials: hospitalization invoice, cooperative medical certificate or medical record, detailed list of expenses, discharge summary and other relevant certificates;
3, outpatient special disease reimbursement data, outpatient invoices, special disease cooperative medical certificate;
4, special disease carrying information, special disease outpatient treatment proposal, cooperative medical certificate, medical records, related laboratory reports and photos.
Legal basis: Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers.
Twenty-eighth personal accounts are used to pay medical expenses beyond the scope of the overall fund; If the personal account is insufficient to pay, it shall be borne by me.
Twenty-ninth serious illness hospitalization medical expenses, according to the following methods to pay:
(a) Qifubiaozhun in principle control in the city, county, autonomous county last year, the average social wage of workers 9%-0%.
(two) the maximum payment limit is controlled in principle at 3-5 times of the average social wage of employees in cities, counties and autonomous counties in the previous year.
(three) medical expenses above the minimum deductible and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion. Give appropriate care to the proportion of retirees who bear medical expenses.
The scope of serious diseases, the specific standards of Qifubiaozhun and the maximum payment limit, and the proportion of sharing medical expenses above Qifubiaozhun and below the maximum payment limit shall be determined by the provincial people's government.
Thirtieth medical expenses below Qifubiaozhun and above the maximum payment limit shall not be paid by the overall fund.