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It's not troublesome, now it's basically the hospital automatically deducts, and the social security bureau is networked, and the reimbursement is automated, and the rest is given by yourself.
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As long as there are relevant procedures, it is not troublesome at all, and if you submit it, you will be reimbursed for the corresponding payment.
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Is it troublesome to apply for medical insurance reimbursement? It is not troublesome to apply for medical insurance reimbursement, mainly to be completed in an orderly and orderly manner, step by step, and it is a state-supported project.
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Now it is not troublesome to apply for medical insurance reimbursement, and now the policy implemented by the state is to let the people only make one trip as much as possible. Just find the relevant local authorities.
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The process of applying for medical insurance reimbursement is more troublesome, because all relevant procedures are required to prove that the reimbursement can be made.
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This is not difficult, as long as you have the hospital's invoice and your medical record documents ready.
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The way to apply for medical insurance reimbursement online is to open WeChat or the National Medical Insurance APP and other application software, find the medical and health option on the page, click on the blind Shenjin to enter the medical insurance personal service, and you can apply for medical reimbursement according to the prompts.
Article 28 of the Social Insurance Law.
In line with the basic medical insurance drug list, diagnosis and treatment items, medical service design and treatment standards, as well as emergency and rescue medical expenses, in accordance with national regulations from the basic medical insurance ** payment.
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 social insurance department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places to facilitate the insured to enjoy basic medical insurance benefits.
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The medical insurance reimbursement procedures are as follows:
1. When admitted: patients with medical insurance should go through the social security registration procedures with their ID cards, and then go to the ward for hospitalization.
2. When Sun Xilun is discharged: the doctor arranges for the patient to be discharged, and goes to the hospitalization fee office to go through the discharge settlement procedures with the admission registration form and ID card.
At present, the reimbursement process has been simplified, and patients do not need to go to the social security center for reimbursement, and can directly settle on the spot at the hospital.
The so-called medical insurance hospitalization reimbursement - not after the cash advance is reimbursed with Lu Qi bills, but when hospitalized in the designated hospital of medical insurance, a medical insurance card is issued, so that the unified medical insurance settlement system can read the information of the insured and handle the hospitalization number.
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The reimbursement materials required to apply for reimbursement of serious illness medical insurance are: ID card, "social security card" and other documents. Receipts of medical expenses in accordance with the provisions of the city's medical insurance or reimbursement statements of the city's basic medical insurance for urban residents.
Outpatient and emergency medical records, detailed list of expenses and other relevant certificates. Bring these materials to the relevant departments to handle, and the specific regulations in different regions will be formulated by the local government. The law stipulates that:
Article 1 of the "Blind Caution Notice on Accelerating the Pilot Work of New Rural Cooperative Medical Care" stipulates that the establishment of a new type of rural cooperative medical system is a major measure to solve the problem of farmers' difficulty in seeing a doctor from the perspective of China's basic national conditions, and plays an important role in improving the health level of farmers, alleviating the poverty caused by illness and returning to poverty due to illness, coordinating urban and rural development, and achieving the goal of building a moderately prosperous society in an all-round way. All relevant departments should fully understand the great significance of carrying out the pilot work of rural cooperative medical care in a new type of cover key from the height of governing for the people, people-oriented and building a harmonious society, and in accordance with the deployment and requirements of the first department, unify thinking, clarify goals, carefully organize, and do solid work, so as to pay close attention to this major event for the benefit of the vast number of farmers.
The relevant departments of the provinces should conscientiously organize and carry out investigation and research, improve the pilot program, standardize the operation mechanism, and form 2 or 3 relatively mature pilot models for reference in the future.
Article 28 of the Social Insurance Law in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, in accordance with the provisions of the state from the basic medical insurance **. 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.
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1. The following materials are required for reimbursement of hospitalization expenses:
1. Outpatient medical records.
2. Discharge summary.
3. Certificate of illness.
4. Receipts (invoices) for hospitalization charges.
5. List of hospitalization expenses.
6. Medical insurance IC card (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 or 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 you cannot directly settle with the card in the designated hospital for special reasons, you shall provide relevant certificates and explanations of the medical treatment.
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. The materials required for reimbursement of outpatient serious illness expenses are as follows:
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 Employees Residents Basic Medical Insurance Outpatient Serious Illness Card".
6. If the designated medical institution is a non-local hospital, the original and photocopy of the "Registration Form for Nanning City Resident or Overseas Staff to Choose a Non-local Designated Medical Institution" 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 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.
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Outpatient expenses for college students will not be reimbursed. When reimbursing hospitalization, you should bring a copy of the first page of the case, a copy of the doctor's order, a detailed list of expenses, an invoice, and a copy of your ID card. Commercial insurance can reimburse part of the outpatient expenses, and outpatient medical records, expense breakdowns, and invoices must be provided.
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Hello! Bring your receipts, prescriptions, diagnosis certificates, and medication lists. If there are other documents, keep them as well.
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Hospital records, statements, ID cards, and your health insurance card.
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Medical records, medical receipts (and computer receipts).
My social security card.
Sporadic reimbursement of medical expenses declaration materials: >>>More
Cancer Medicare can cover it. In addition, some outpatient clinics** for cancer will be included in the management of special diseases, and there is a separate reimbursement policy. However, if you use imported drugs and other self-financed drugs for cancer, you cannot be reimbursed because self-financed drugs are not covered by reimbursement.
Cancer Medicare can cover it. In addition, some outpatient clinics** for cancer will be included in the management of special diseases, and there is a separate reimbursement policy. However, if you use imported drugs and other self-financed drugs for cancer, you cannot be reimbursed because self-financed drugs are not covered by reimbursement.
We know that as an employee, there are five insurances and one housing fund, one of which is medical insurance, if you are sick, you can use medical insurance to reimburse, so what about the proportion of medical insurance reimbursement? The following will explain the relevant content for your reference and learning, I hope it will be helpful to you. >>>More
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.