How is the reimbursement of employee medical insurance hospitalization reimbursement

With a social security card**, you can directly enjoy medical insurance without reimbursement procedures. Otherwise, bring the information issued by the hospital to the medical insurance center to go through the reimbursement procedures.

The reimbursement ratio is different in each place, so it is recommended that you ask your local medical insurance bureau.

I hope mine can help you, hope, thank you.

According to the regulations of our mine, the reimbursement for retirees with work-related injuries, coal lung retirees, and chronic diseases is 100 percent, and 90 percent for other ordinary retirees.

Now it's all online, and you can use your social security card to settle the bill and reimburse the hospitalization expenses directly.

Employees who are hospitalized with medical insurance will be paid directly with their medical insurance cards when they are discharged, and they do not need to report the amount of slag after the fact. The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

Legal analysis: Employees who are hospitalized with medical insurance will be directly settled with their medical insurance card when they are discharged, and they do not need to be reimbursed afterwards. The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

Legal basis: Social Insurance Law of the People's Republic of China

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Legal analysis: Reimbursement of hospitalization by employee medical insurance requires employees to seek medical treatment and purchase drugs in designated medical institutions, or to purchase drugs at designated retail pharmacies determined by social security institutions with medical prescriptions issued by doctors in designated hospitals. In addition, if the employee meets the scope and payment standards of the basic medical insurance drug catalogue and diagnosis and treatment items in the process of medical treatment, he or she can use the medical expense list, hospitalization summary and other materials to submit to the local medical insurance bureau for reimbursement.

Legal basis: Social Insurance Law of the People's Republic of China Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.

1.When hospitalized, patients with medical insurance need to go through social security registration procedures with their ID cards, and then go to the hospital for hospitalization.

2.When discharged, the patient should go to the hospital billing office to go through the settlement procedures with the hospitalization registration form and ID card, and then go to the medical insurance office set up by the hospital for settlement with the hospitalization receipts, billing documents, insurance card and ID card.

[Extended content].

Specific ways to reimburse hospitalization expenses by medical insurance:

1.If you are hospitalized in a social security designated medical institution in the place of insurance, you can directly use the medical insurance for reimbursement and settlement when you pay the premium, but because the medical insurance reimbursement ratio and other regulations are different in different places, the specific amount of reimbursement is subject to local regulations;

2.If you are hospitalized in a different place, you also need to go through the filing of the medical treatment in other places in advance, which can be filed on the "Remote Medical Treatment Filing" applet, or go to the medical insurance service center in the insured place for the record, etc., if you have not filed in advance, but you are hospitalized in a different place due to an emergency illness, you need to call the medical insurance service center in the insured place first** to communicate, and the other party agrees before filing. If the reimbursement and settlement cannot be made in the hospital, the relevant information (such as hospitalization summary, medical expense list, etc.) can be kept, and then go to the medical insurance service center for reimbursement after returning to the insured place.