Medical insurance reimbursement records can be kept all the time. Although the medical insurance card will not record the cardholder's illness, it will record the cardholder's outpatient service, hospitalization, drug purchase and other information. And these records will always be kept and will not be deleted because of a long time. So we want to buy insurance, we must pay attention to the medical insurance card, and remember not to lend it to others to buy medicine. Doing so may increase the difficulty of applying for commercial insurance in the future, and if the circumstances are serious, it may lead to refusal of insurance.

How to reimburse the medical insurance card for seeing a doctor

1. If the medical insurance card is social security, the outpatient service will not be reimbursed. If you use the medical insurance card every month, you should bear it yourself. If you are hospitalized, {hospitalization expenses-deductible-self-paid drugs (nutrition drugs and imported drugs) }*85% will be reimbursed, and the rest will be borne by yourself.

2. When reimbursing medical insurance, you need to go to the local medical insurance management center or the medical insurance settlement window of designated medical institutions for reimbursement. Procedures include: my ID card, medical insurance card, original invoice, medication list, medical records and other materials.

3. Medical insurance reimbursement is carried out in proportion, generally floating around 70%. The proportion and amount of reimbursement are related to their own examination and medication, medical level and other factors. For example, it is clear that Class A drugs can enjoy full coverage, Class C drugs need to bear all the costs, and Class B drugs will report 80% and bear 20% of the costs.

Medical insurance is not reimbursed.

1, which shall be paid from the industrial injury insurance fund;

2. Should be borne by a third party;

3, should be borne by public health;

4. Go abroad for medical treatment;

5. Fitness, health care consumption, physical examination, cosmetic surgery, etc.

6, the provisions of the state medical insurance fund will not pay other expenses;

7. Including the expenses below the deductible line, above the capping line and outside the medical insurance catalogue;

8. Beyond the medical insurance catalogue: drug catalogue, diagnosis and treatment project catalogue and service facilities catalogue.

Matters needing attention in medical insurance reimbursement

1. If it is really necessary for insured patients to be hospitalized after being examined by outpatient doctors, employees or residents with medical insurance shall hold their social security cards and ID cards, and the hospitalization notice filled out by the attending doctor (valid within two days of hospitalization), and then go to the medical insurance office to go through the medical insurance registration formalities, and then go to the ward for hospitalization. The bedside settlement department can handle the medical insurance networking hospitalization registration and discharge settlement business by itself.

2. Patients need to use drugs at their own expense and the treatment, examination and materials that will not be reimbursed due to their illness, and they can only use them after being signed by the patients themselves or their families.

3, urban workers and residents are not allowed to leave the ward after hospitalization, there is something urgent to go out should fill in the application form for temporary hospitalization.

4. Dosage of discharged urban workers and residents: 7 days for common diseases, no more than 28 days for chronic diseases, and no more than 5 kinds. You can only take oral medicine, but you can't take drugs that have nothing to do with this hospitalization disease.

5, the insured workers and residents in the same hospital in the city for 3 days before the outpatient examination fees, or in the same hospital outside the city for 7 days before the outpatient examination fees, can be included in the hospitalization expenses included in the scope of medical insurance reimbursement (only inspection fees, excluding medicine fees, treatment fees, etc.). ).