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How to reimburse college students for being hospitalized at home on holiday?
If the insured college students need to be hospitalized in different places during their holidays, internships and suspension from school, they can apply for medical treatment in different places at the insured place first, and then go to the local medical insurance designated medical institution with a social security card (or medical insurance electronic certificate) and directly swipe the card (or code) for settlement; If it cannot be settled directly, the expenses incurred shall be paid in full by the individual first, and relevant materials shall be provided for reimbursement after returning to school. Medical expenses incurred in non-designated medical institutions (except emergency) will not be reimbursed by medical insurance.

Please go to the outpatient department of public hospital for medical treatment during holidays. Whether it is a local hospital or a foreign hospital, you need to keep invoices, inspection documents, diagnosis certificates, medical records, etc. First at your own expense, then go to the school hospital to reissue the referral form in time after the start of school (nucleic acid detection does not need to reissue the referral form, just save the invoice and inspection results), and go to the department for centralized reimbursement according to the notification requirements.

Note: Preventive vaccines, plastic surgery, physical examination and other items are not included in the scope of medical insurance reimbursement.

1. If a student is hospitalized at home, he/she must swipe his/her medical insurance card when he/she is hospitalized and choose to go to a secondary or tertiary hospital for medical treatment before he/she can enjoy medical insurance reimbursement.

2. Materials required for hospitalization reimbursement: student ID card, social security card and bank card (social security reimbursement comes with bank card; Supplementary medical insurance company needs China Agriculture and Industry Construction Postal Bank Card), two sets of case copies, original medical expense receipt, original expense list and original diagnosis certificate.

3. Report to social security first, and then report to supplementary medical care after getting compensation. Supplementary medical care can be APPlied for and paid by online app.

Medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. The basic medical insurance fund consists of overall funds and individual accounts. The basic medical insurance premiums paid by individual employees are all included in individual accounts; The basic medical insurance premium paid by the employer is divided into two parts, one part is included in the personal account, and the other part is used to establish the overall fund.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.