What materials do I need to provide to apply for medical insurance reimbursement?

Updated on society 2024-03-21
9 answers
  1. Anonymous users2024-02-07

    My social security card.

    Sporadic reimbursement of medical expenses declaration materials:

    1. The original social security card or ID card;

    2. Sporadic reimbursement of outpatient medical expenses shall be provided: valid billing documents, a list of medical expenses (the above materials must be stamped with the official seal of the hospital), and the original and photocopy of outpatient medical records for treatment in designated medical institutions (only for reimbursement of medical expenses for outpatient clinics of special diseases of employee medical insurance and outpatient abortion and family planning surgery for female employees);

    3. Sporadic reimbursement of inpatient medical expenses shall be provided: valid charge receipts, general list of medical expenses, discharge summary and "Fuzhou Basic Medical Insurance Insured Personnel Hospitalization Medical Identity Checklist" (the above materials need to be stamped with the official seal of the hospital);

    4. Settlement by Agricultural Bank of China (other banks need to provide the specific name of the opening bank);

    5. The materials to be provided under special circumstances are as follows:

    1) Accidental injuries that are not directly settled by card:

    a. Poisoning, fire, daily life trauma, etc., need to fill in the "Fuzhou Basic Medical Insurance Insured Persons Accidental Injury Report Form";

    b. For traffic accidents for which I am responsible, I need to provide legal documents for the determination of traffic accident liability and third-party compensation;

    c. For trauma caused by civil cases, the ruling document issued by the public security department shall be provided;

    2) Medical expenses for special reasons are not directly settled by card

    a. The original and copy of the birth medical certificate shall be provided for the settlement of neonatal expenses;

    b. If the card is not swiped due to the system failure of the medical institution, the medical institution shall explain the reason and affix the seal;

    c. For critical illness rescue, the "Fuzhou Basic Medical Insurance Outpatient Special Disease Confirmation Form" and the critical illness (or serious illness) notice shall be provided.

    3) For medical expenses reimbursed by other insurance agencies, the policy and claim split form must be provided.

  2. Anonymous users2024-02-06

    The documents required for medical reimbursement are:

    1.Inpatient medical records issued by the attending physician when the individual is hospitalized;

    2.a list of the costs required for hospitalization;

    3.various invoices for hospitalization expenses;

    4.Discharge summary issued by the hospital's finances;

    5.A medical certificate issued by the attending physician;

    6.ID card and household registration book of the patient;

    7.The person's social security card.

  3. Anonymous users2024-02-05

    When you work in an enterprise unit, you will pay medical insurance. Freelancers can pay social security once a year. Medical expenses can be reimbursed according to the required proportion. You will need to prepare the following documents.

    <> used to have to go through the procedures by myself after being discharged from the hospital. Now the hospital has a dedicated administrative reimbursement department. Bring all the information, check the computer query, and make the corresponding reimbursement according to the proportion of medical insurance.

    There is also an additional supplementary medical fee each year. In the event of a critical illness, additional medical reimbursement can also be made.

  4. Anonymous users2024-02-04

    1. You need to prepare the original of your ID card and social security card.

    2. The original receipts of medical expenses, including hospitalization expense statement, discharge diagnosis certificate, observation certificate, drug examination and ** expense details, hospital full settlement certificate and unit description.

    3. You need to fill in the social medical insurance medical expense reimbursement form. 1. Reimbursement of hospitalization expenses.

    1. Outpatient medical records;

    2. Discharge summary;

    3. Certificate of illness;

    4. Receipts (invoices) of hospitalization charges;

    5. List of hospitalization expenses;

    6. Medical insurance IC card (insured students who have not applied for a card must provide medical insurance payment receipts and their ID cards or household registration books);

    7. For reimbursement of hospitalization expenses in other places, the original and photocopy of the certificate of the unit (community neighborhood committee school) or the registration form of Nanning City for non-local residents or staff stationed abroad to choose non-local designated medical institutions;

    8. If the card cannot be settled directly in the designated hospital due to special reasons, relevant certificates and explanations of the medical treatment shall be provided;

    9. If you entrust another person to do the work on your behalf, you must provide the applicant's power of attorney and the original and copy of the agent's ID card (original verification).

    10. If the insured residents are referred to the hospital for medical treatment, they must provide a two-way referral form.

    2. Reimbursement of outpatient and emergency expenses.

    1. Outpatient medical records;

    2. Receipts (invoices) of outpatient charges;

    3. List of outpatient expenses;

    4. Medical insurance IC card (insured students who have not applied for a card must provide medical insurance payment receipts and their ID cards or household registration books);

    5. For reimbursement of pre-hospitalization emergency treatment, provide disease certificate, discharge summary, hospitalization fee receipt (invoice), hospitalization expense settlement statement, and hospitalization expense list;

    6. For reimbursement of expenses in other places, the original and photocopy of the certificate of the unit (community neighborhood committee or school) or the registration form of Nanning City for living in other places or choosing designated medical institutions in other places for staff stationed abroad shall be provided;

    7. If the card cannot be settled directly in the designated hospital due to special reasons, relevant certificates and explanations of the medical treatment shall be provided;

    8. If you entrust another person to do the work on your behalf, you must provide the applicant's power of attorney and the original and copy of the agent's ID card (original verification);

    9. If the insured residents are referred to the hospital for medical treatment, they must provide a two-way referral form.

    3. Reimbursement of outpatient serious illness expenses.

    1. Outpatient medical records;

    2. Receipts (invoices) of outpatient charges;

    3. List of outpatient expenses;

    4. Medical insurance IC card (insured students who have not applied for a card must provide medical insurance payment receipts and their ID cards or household registration books);

    5. "Nanning Urban Employee Resident Basic Medical Insurance Outpatient Serious Illness Card";

    6. If the designated medical institution is a foreign hospital, the original and photocopy of the "Registration Form for Nanning City to Choose a Non-local Designated Medical Institution for Employees Living in Other Places or Stationed Abroad" must be presented;

    7. If the card cannot be settled directly in the designated hospital due to special reasons, relevant certificates and explanations of the medical treatment shall be provided;

    8. If you entrust another person to do the work on your behalf, you must provide the applicant's power of attorney and the original and copy of the agent's ID card (original verification);

    9. If the insured residents are referred to the hospital for medical treatment, they must provide a two-way referral form.

  5. Anonymous users2024-02-03

    1.Original ID card or social security card; 2.The original certificate of disease diagnosis issued by a specialist doctor of a designated medical institution; 3.

    Original medical records of outpatient medical records, examinations, test results reports and other medical information; 4.Original receipts for outpatient charges of financial and taxation unified medical institutions; 5.A detailed list of outpatient expenses printed out by the hospital's computer or the original payment of the doctor's prescription; 6.

    Designated pharmacies: the original uniform invoice for the sale of tax commodities and the computer-printed list; 7.If you are acting on behalf of a person, you need to provide the original ID card of the agent.

  6. Anonymous users2024-02-02

    The following documents are required for medical insurance reimbursement:

    1. Original fee receipt (1 original);

    2. Detailed list of expenses (1 original);

    3. Outpatient medical records (1 copy, original copy);

    4. Inpatient medical records stamped with the official seal of the medical institution (copy of admission records, doctor's orders, surgical records, discharge records and related examination reports should be made in the medical record room of the hospital) (1 copy);

    5. Certificate of disease diagnosis (emergency hospitalization will continue to issue hospital emergency certificate) (1 original);

    6. Social security card of the insured person (1 copy, original copy);

    7. ID card of the insured person (1 copy, original verification). If another person is entrusted to handle the case, the agent's ID card (1 copy, original for verification) shall be provided;

    8. The insured's bank passbook or bank card (opening an account with ICBC, CCB, ABC, and China) (1 copy, original verification);

    9. Registration Form of Designated Medical Institutions for Social Medical Insurance Participants to Seek Medical Treatment in Other Places (1 original).

    Article 29 of the Social Insurance Law of the People's Republic of China.

    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.

  7. Anonymous users2024-02-01

    Reimbursement scope: the difference between medical insurance sales and non-medical insurance drugs, the reimbursement threshold is also different according to the level of the hospital, generally Class A drugs can enjoy full coverage, Class C needs to bear all the out-of-pocket costs, and Class B reports 80%, and the proportion of 20% of self-responsibility.

    1. Reimbursement of outpatient and emergency medical expenses. To apply for reimbursement of outpatient and emergency medical expenses, the insured person shall bring a valid certificate (ID card, household registration booklet, etc.), "Social Security Card" or "Medical Insurance Card", special receipts for outpatient medical expenses, special receipts for emergency medical expenses, relevant medical history materials and copies, and emergency attachments and photocopies of the "Outpatient and Emergency Medical Treatment Record Book" (medical expenses incurred by personnel whose medical treatment relationship is in the designated medical institutions of the city's medical insurance). If the "Medical Insurance Card" is damaged, the "Medical Insurance Card Damage Notice" must also be provided.

    2. Reimbursement of hospital observation expenses. To apply for reimbursement of hospitalization and emergency observation room observation expenses, the insured person shall provide a special receipt for medical expenses, a list of medical expenses during hospitalization (list of medical expenses for hospitalization in the emergency observation room) and a copy, and a discharge (observation) summary and a photocopy.

    3. Sporadic reimbursement of outpatient serious illness medical expenses. To apply for sporadic reimbursement of outpatient serious illness medical expenses, the insured person shall provide special receipts for outpatient medical expenses, disease diagnosis certificates and copies, and relevant examination reports and copies.

    4. Entrust others for reimbursement. The insured person can entrust others to handle it on his behalf. The entrusted person shall also bring the valid documents (ID card, household registration booklet, etc.) of himself and the insured person when handling the application.

  8. Anonymous users2024-01-31

    Materials required for medical insurance reimbursement:

    1. The original receipt of the hospital (original and photocopy);

    2. Detailed list of hospital expenses (stamped with the official seal of the hospital);

    3. Certificate of disease diagnosis (original copy received);

    4. Outpatient medical records (original and photocopy);

    5. Inpatient spine and hunger records (copies stamped with the official seal of medical institutions), including admission records, long-term and temporary medical orders, surgical records, discharge records, and inspection reports;

    6. Social security card of the insured person (original and photocopy);

    7. Power of attorney (if entrusted to others), ID card of the agent (original and photocopy);

    8. The insured's bank passbook or bank card (original and photocopy).

  9. Anonymous users2024-01-30

    Medical insurance refers to social medical insurance, the state and society according to the law, the company and enterprises are required to purchase the medical insurance system for workers, of course, flexible forms of employment such as personal management can also handle medical insurance, settlement. Next, we will introduce the information required for the liquidation of medical insurance.

    1. Information provided by employee medical insurance and urban resident medical insurance:

    Resident medical insurance and employee medical insurance need to provide the following information: certificates, medical insurance certificates, receipts and lists issued by hospitals, lists, medical certificates (discharge summary), diagnosis certificates, commercial medical insurance, hospital issued expense receipts, lists, medical certificates (discharge summary), inspection reports, copies of infiltration books, policyholders (beneficiary identity certificates), request application forms (salesman**), and copies of bank cards of policyholders (beneficiaries with deposit receipts).

    2. Materials provided by the New Rural Cooperative Medical Insurance:

    Information required for liquidation: Certificate of Diagnosis of Illness, Certificate of Discharge, Discharge Summary, Receipt, List of Expenses, Copies of Large Cases (with Seals), Outpatient Cases and Receipts, Identification Certificates, Medical Certificates, Bank Cards or Passbooks (Payment) Find the place, fill in **, provide these things, and wait for the payment information may be somewhat different due to your illness and the specific circumstances of the accident. The medical certificate may be required, you can reprocess it first, and then apply for it to request it, or you can find a place, and then detect the medical treatment according to the ID number**, and apply for reprocessing at the same time as the application request for wax fiber.

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