The question of medical insurance How can I be reimbursed?

To be honest, it's not worth it with just a few reward points and so many questions.

Your first question: the money in your health insurance card is the total amount of money you have paid;

The second question: what you said is right, if the threshold fee is 1000, you can only be reimbursed for the part above 1000 yuan, for example, if you spent 1010 yuan on medical treatment, then you can only be reimbursed to 10 yuan. Multiply by the percentage.

The third question: you have no money in the card, of course, you have to spend your own cash, and then when you see a doctor, tell the doctor directly that you have social security, and then you only need to report your card number, and the transfer will be directly transferred in the hospital.

The fourth question: You see that others can reimburse a few hundred, yes, how long have others paid, and how long have you paid?

The fifth question: the people in the Social Security Bureau are very kind, at least they will talk to you and don't scold people!

To be hospitalized, you need to use your medical insurance card first, get an application form at the inpatient office at the same time as hospitalization, and go to the medical insurance office to do the record, so that you can reimburse 86 in the case of money above the threshold.

When you go to the hospital to see a doctor, not all expenses will be reimbursed to you, some are self-paying, some items are within the scope of medical insurance reimbursement, and most of the general outpatient expenses are self-paying, so you have to ask which medical treatment items are within the scope of medical insurance reimbursement, otherwise, you will not be able to spend your own money.

How is it reimbursed by medical insurance:

1. The insured person should bring the card to seek medical treatment. After participating in social security, a social security card is generally issued. If the insured person brings the card to seek medical treatment, it depends on whether the designated medical institution has opened real-time settlement business.

2. Designated medical institutions have opened real-time settlement services. After the insured person uses the social security card**, the outpatient clinic and examination, and when the settlement is made, the hospital will automatically reimburse the expenses in proportion, and the insured person only needs to pay the part of his own expenses.

3. Designated medical institutions have not opened real-time settlement services. At the time of settlement, the insured person needs to pay the full amount in advance. Then the insured unit will go to the medical insurance agency for review and reimbursement with invoices, social security cards, diagnosis certificates, etc.

4. The insured person does not bring the card to seek medical treatment. If you forget to bring your medical insurance card when you go to a designated medical institution to see a doctor, it is not impossible to reimburse. If you fall into one of these conditions, you can go to the health insurance agency for reimbursement afterwards.

How to reimburse the reimbursement of the medical insurance card.

How to reimburse for medical insurance card reimbursement: Medical insurance reimbursement process:

1. Go to the hospital with valid documents such as medical insurance card or ID card, household registration book, etc., and go through the settlement procedures directly when discharged;

2. Or bring all the relevant information to the relevant departments of the local social security center to apply for processing, and if the conditions are met after the review is completed, you can handle it immediately.

Medical insurance refers to social medical insurance. It is a social insurance system for the basic medical needs of workers when they are sick in accordance with laws and regulations.

How is reimbursement for Medicare reimbursement.

The process of medical insurance reimbursement is as follows: 1. The medical insurance account should prepare the materials for hospitalization and medical insurance reimbursement, and the attending physician will issue relevant diagnosis certificates, medical records, etc. before the individual is discharged. 2. Discharge settlement, hospitalization invoice list must be kept.

3. Take the content materials to be reimbursed to the medical insurance reimbursement agency where the resident is located for reimbursement. 4. The medical insurance institution will review the information submitted by the user, and after confirming that it is correct, the reimbursement amount will be remitted to the user's account. That's how Medicare reimbursements.

Legal basis: Article 28 of the full text of the Social Insurance Law of the People's Republic of China in accordance with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses for emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations.

Article 29 of the full text 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.

Hospitalization Reimbursement: 1When you are admitted to the hospital, please fill in the medical insurance admission registration form and pay the ** fee, try not to fill it out when you are discharged, otherwise it will increase your waiting time for discharge settlement.

2.Go to the billing office with the discharge notice to go through the discharge settlement procedures, 3Go to the social security (or neighborhood committee) for reimbursement (including foreign medical insurance), and after being discharged from the hospital, you can go to the social security (or neighborhood committee) for reimbursement with the hospitalization invoice, discharge certificate, and expense list.

The expenses reimbursed by medical insurance are: 1. Bed fee (up to 12 yuan per day for township health centers and up to 15 yuan per day for medical institutions at or above the municipal level); 2. Drug fees (the scope of drug use is implemented in the list of drugs stipulated by the province); 3. Inspection fee (inspection, laboratory test, etc., limit of 600 yuan); 4. ** fee (within 300 yuan will be settled according to the actual settlement, and the part above 300 yuan will be included in the reimbursement scope by 50%)); 5. Surgery fee (according to the prescribed charging standard); 6. Blood transfusion fee (operation or rescue, the maximum limit of each hospitalization is 500 yuan); 7. Material fee (the maximum limit of each hospitalization is 2,000 yuan); 8. The outpatient expenses of radiotherapy, chemotherapy and renal failure requiring dialysis for patients with various tumors shall be compensated as hospitalization expenses.

Detailed Rules for the Implementation of the Social Insurance Law of the People's Republic of China Article 8 The medical expenses incurred by the insured persons in the agreed medical institutions shall be paid from the basic medical insurance in accordance with the provisions of the State if they meet the standards of the basic medical insurance drug catalog, diagnosis and treatment items and medical service facilities. If the insured person really needs emergency treatment and rescue, he or she can seek medical treatment in a non-agreed medical institution; The scope of drugs that must be used for rescue purposes may be appropriately relaxed. The specific management measures for medical services for emergency and rescue of insured persons shall be formulated by the overall planning area according to the actual local situation.

Legal analysis: 1. If the insured wants to be reimbursed, then he can bring his medical insurance card to the designated hospital for treatment, and after the doctor's diagnosis, he can issue a certificate of admission.

2. Hospitalization. 3. The reimbursement materials include the original ID card of the person or the agent, the medical insurance card, the medical record, the admission certificate, the inspection report and the original information to the local social security department for reimbursement.

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

Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the State, and they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If it is not reached, it can be paid until the number of years specified by the state.