How to reimburse medical insurance for college students, and how to reimburse college students for m

There are two situations for college students to consider medical insurance reimbursement:

Seeing a doctor while in school: Students who seek medical treatment at the school health center or school hospital can enjoy instant preferential settlement with their student ID card and ID card. As long as it is not serious enough to require emergency treatment, you must first go to the school hospital, the school hospital, and the school hospital.

Otherwise, either no reimbursement will be given, or the reimbursement ratio will be reduced. If you have a serious illness that cannot be solved by the school hospital, you need to go to the school hospital to open a referral form, and then go to the designated hospital outside the school for treatment.

During vacations, sabbatical, internships or overseas exchanges, etc.: In the case of daily absence, our medical expenses in other places cannot be reimbursed. If you need to be hospitalized during winter and summer vacations, suspension of study due to illness, internship, etc., you can go to the nearest local medical insurance designated medical institution for treatment, and the expenses incurred will be paid in full by the individual first, and relevant materials will be provided for reimbursement after returning to school.

The materials that need to be prepared for the reimbursement of the general outpatient examination fees incurred by students in off-campus medical treatment are: valid invoices from designated hospitals for medical insurance, original detailed list of examination expenses, original disease diagnosis certificates, medical records and original related examination sheets, which will be reviewed by the university hospital and submitted to the superior for approval, and the financial office will transfer the reimbursement expenses to the student's account through bank transfer. Internships and suspensions due to illness require students to apply in advance and report to the medical insurance bureau to which they belong for the record, and the expenses can be reimbursed only after the filing is approved.

There are two main categories of health insurance for college students:

Publicly-funded medical care: This is a free medical insurance provided by the state, which can be enjoyed free of charge by students after enrollment.

Medical insurance for urban and rural residents: The state gives a certain subsidy, and students also need to pay a part of the money to participate in the medical insurance, which is a kind of medical insurance for urban and rural residents.

Materials to be prepared for medical insurance reimbursement for college students:

1. Outpatient medical records.

2. Outpatient prescription.

3. Relevant bills.

4. The original and copy of the medical guarantee for college students.

5. Relevant inspection and inspection reports.

The basic medical insurance for college students** consists of the basic medical insurance premiums paid by the insured students and the **subsidy. The financing standard is 110 yuan per person per year, of which 80 yuan is a financial subsidy, 30 yuan is paid by college students and their families, and college students from low-income families are given full financial subsidies, and college students do not pay.

College students shall use the pooled fund for hospitalization in designated medical institutions, establish a minimum payment standard and a maximum payment limit, and determine the proportion of individual self-payment above the maximum payment limit above the minimum payment standard.

College students' medical insurance can be used in the following ways: 1. When you seek medical treatment in the on-campus infirmary and take medicine, you can use your medical insurance card to pay; 2. Outpatients (including general outpatient clinics and emergency departments) and hospitalizations in off-campus hospitals can be paid with medical insurance cards; 3. If you are hospitalized or outpatient in other provinces or cities, you can use your medical insurance card to pay. The cost of participating in college students' medical insurance is not high, dozens of yuan a year.

Extended information: When college students pay for drug purchases or medical expenses, they will be reimbursed by swiping their cards. From the date of enrollment of college students, it is deemed that college students participate in the urban resident medical insurance where the school is located, and the specific medical insurance expense reimbursement and hospitalization expense reimbursement policies shall be reimbursed according to the medical insurance policy of the school.

The annual tuition fee paid by college students to the school has included the cost of college students' participation in medical insurance, which is collected by the school and reported to the medical insurance management department where the school is located after the student's personal information statistics are completed, and the medical insurance department will handle it uniformly. If a college student wants to participate in the urban resident medical insurance where the university is located, and reimburse the cost of purchasing drugs and medical expenses within the scope of the urban resident medical insurance, he must pay the medical insurance fee in full and in a timely manner in accordance with the policy of the university. If you are unable to pay the medical insurance premiums in time or in full due to personal reasons.

It may affect the participation of college students in the current year's medical insurance. This affects the reimbursement of drug purchases, medical expenses and hospitalization expenses. In terms of the specific use of medical insurance, if you participate in medical insurance in the location of the school, you need to compare the specific drugs or specific diagnosis and treatment items specified in the medical insurance catalog.

When paying the corresponding fee, pay the drug cost and the first fee by swiping the medical insurance card, if you use the medical insurance in a non-school location, you need to pay the ** fee or drug cost in advance, and bring it to the school after returning to the school, submit it to the school hospital or medical insurance department and submit a reimbursement application, and wait until the reimbursement application is approved, then return the part of the fee to the student.

1.Students who seek medical treatment at the school health center or school hospital can enjoy instant preferential settlement with their student ID card and ID card. 2.

The materials that need to be prepared for the reimbursement of the general outpatient examination fees incurred by students in off-campus medical treatment are: valid invoices from designated hospitals for medical insurance, original detailed list of examination expenses, original disease diagnosis certificates, medical records and original related examination sheets, which will be reviewed by the university hospital and submitted to the superior for approval, and the financial office will transfer the reimbursement expenses to the student's account through bank transfer. 3.

If a student is hospitalized off-campus, the materials that need to be prepared for reimbursement are: valid invoice during hospitalization, summary of expenses during hospitalization, discharge summary, copy of ID card and bank card, if transferred to another hospital, the first hospital transfer certificate must be provided, and the college student medical insurance office will sort it out and send it to the medical insurance center for reimbursement, and the reimbursement fee will be transferred to the student's personal bank account after the medical insurance center accepts and approves the application.

Legal basis

Article 23 of the Social Insurance Law of the People's Republic of China stipulates that employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

Medical insurance coverage for college students.

1.Inpatient medical reimbursement.

Hospitalized college students must pay a certain deposit as an individual expense, and the excess will be refunded and the deficiency will be compensated when the discharge is discharged.

2.Reimbursement of maternity expenses.

800 yuan for normal delivery and 1600 yuan for cesarean section. If the cost of childbirth is lower than the quota standard, the subsidy shall be based on the actual expenses, and if the subsidy is higher than the quota standard, the subsidy shall be provided according to the quota standard.

3.Chronic disease reimbursement.

Coronary atherosclerotic disease (excluding occult type), chronic cormonale-derived disease, essential hypertension (stage II or above), recovery period of cerebrovascular disease, decompensated stage of liver cirrhosis, diabetes complications, chronic glomerulonephritis and nephrotic syndrome, advanced malignant tumor, psychiatric disease, lupus erythematosus, Parkinson's disease syndrome.

4.Outpatient Accident Reimbursement

Fractures, joint dislocations, and respiratory foreign bodies.

5.Outpatient emergency reimbursement.

Coma, severe shock, massive bleeding, poisoning, severe dehydration, febrile convulsions, severe trauma, severe dyspnea, spontaneous or traumatic pneumothorax, hemopneumothorax, laryngeal infarction, tracheobronchial obstruction, severe arrhythmia, life-threatening internal and external bleeding, acute heart failure, respiratory failure, renal failure and other vital signs have major changes.

6.Students who need to be hospitalized in other places during vacations, internships, or sabbaticals can go to the nearest designated local medical institution or public hospital for treatment, and the medical expenses will be paid in full by the individual.

1. The inpatient medical expenses shall be paid by the individual first, and then after discharge, the medical insurance card for college students of urban residents", ID card, outpatient medical records, discharge summary, total list of expenses, certificate of disease diagnosis, valid bills (original invoices), doctor's orders, copies of the first page of medical records, and certificates issued by the school will be presented

2. (Transfer to other places for medical treatment) to open the card settlement function: within three days of hospitalization, the student or the student's guardian or trustee shall go to the window of the Medical Department of the service hall of the Municipal Medical Insurance Center with the student's ID card, Provincial Social Security Card, hospitalization medical records, disease diagnosis certificate, and certificate issued by the college;

3. Handling of expenses for emergency rescue admission to non-designated medical institutions: within 3-5 working days of the occurrence of an emergency, first contact or entrust others to register with the Municipal Medical Insurance Management Center through the Student Medical Insurance Management Center of our hospital with a written report, and the medical expenses shall be paid in advance by me.

Students go to the school's special reimbursement service center and bring the hospital voucher and invoice for reimbursement.

College students who seek medical treatment at the school health center or school hospital can enjoy instant preferential settlement with their student ID card and ID card. If the student seeks medical treatment off-campus, the materials are prepared and submitted to the university hospital, and the college student medical insurance office will sort out and send them to the medical insurance center for reimbursement, and the reimbursement fee will be transferred to the student's personal bank account after the medical insurance center accepts and approves the application.

Legal basisArticle 25 of the Social Insurance Law of the People's Republic of China.

The State shall establish and improve a basic medical insurance system for urban residents.

The basic medical insurance for urban residents implements a combination of individual payment and subsidy.

Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.

The process for college students to use medical insurance to see a doctor is as follows:1. The first hospital for college students' medical insurance is generally a school hospital.

2. If college students need to see a doctor in other designated hospitals, they need to issue a referral form from the school hospital.

3. College students need to pay for medical treatment in other hospitals with the referral form (no credit card) 4. College students need to go to the school hospital for reimbursement with the corresponding bills after seeing a doctor. Submissions will be reviewed by the school. (Some schools cannot be reimbursed three weeks before the start of school, and the time for receiving reimbursement is also set in a certain amount, which may require reimbursement from a tertiary hospital, and commercial insurance reimbursement may affect the medical insurance reimbursement of college students).

5. After reviewing the materials in the school hospital, the materials should be submitted to the Municipal Social Security Center for review. The materials that need to be reviewed by the medical insurance center are: hospitalization summary, disease certificate, expense list, certificate issued by the school, ID card of dismantling, medical insurance card, college students' medical insurance card is very important during school, so it is best to pay for medical insurance for college students on time, it is very cost-effective to miss medical insurance, and missing medical insurance will also bring unnecessary trouble.

Introduction to Medical Insurance:Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease. Through the employer and the individual travel Zheng let people pay the premium, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation.

When reimbursing outpatient clinics, you need your medical insurance card, ID card, medical records (referral opinions and stamps of the school hospital), medical records of the hospital you visited, original invoices, and a list of expenses, etc., and reimburse them at the school. Pay attention to a few points for hospitalization reimbursement: city.

First, second, and specialized hospitals directly use medical insurance cards for hospitalization; For hospitalization in a tertiary hospital or other places, you need to pay in advance and hand over the reimbursement materials to the school for reimbursement.

Hello, I'm glad to answer for you, it can be reimbursed, but there is a time limit, under normal circumstances, you can only pay a medical premium (in the tuition fee) for the next academic year. Hope it helps.

Questioned, but the doctor said that it would be 13 months before it could be reported.

The answer is that it can be reported, and the insured college students will submit the outpatient medical records, outpatient prescriptions, relevant bills, "College Student Medical Guarantee" and relevant inspection reports and other materials to the medical insurance department of the university where they are located, and the medical insurance department of the university will sort out and summarize, and fill in the "Summary Table of Outpatient Accidental Injury Expenses of Basic Medical Insurance for Urban Residents in Xi'an", and report to the municipal medical insurance agency in the first week of each month. After the municipal medical insurance agency reviews and settles in accordance with the regulations, the reimbursed medical expenses will be issued to the insured college students through the university medical insurance department, and the reimbursement expenses will be recorded in the "College Student Medical Guarantee".

Reimbursement for medical treatment for college students:

1. Students need to prepare materials for reimbursement of general outpatient examination fees incurred in off-campus medical treatment, and the university hospital will report to the superior for approval after review, and the Finance Office will transfer the reimbursement expenses to the student's account.

3. If the student is hospitalized off-campus, the college student medical insurance office will send the reimbursement to the medical insurance center after sorting out the information, and after the medical insurance center accepts and approves the application, the reimbursement fee will be transferred to the student's account.

Social Insurance Law of the People's Republic of China

Article 23.

Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons can participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

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.