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If you have already paid for your own medical expenses, you will be reimbursed with the bills, there is a time limit, and you need to handle it as soon as possible. You can first tell the hospital that you have a medical insurance card.
There are two situations, one is to take the bill and then reimburse, and the other is to settle directly with the social security by the hospital.
Settlement procedures for resettlement personnel: **After the end of the transaction, the unit shall hold the medical certificate and medical records of the insured personnel.
Valid expense bills, double-entry prescriptions, hospitalization expense lists, etc., to the social medical insurance on the specified date.
The handling agency will settle the settlement.
Referral and transfer settlement: After the end of medical treatment, the insured person or other ** person will go to the medical insurance agency to reimburse the hospitalization expenses that fall within the scope of overall payment with the referral and transfer approval form, medical record certificate, prescription and valid documents.
Proportion of outpatient reimbursement by medical insurance.
For domestic medical insurance, if the ordinary outpatient expenses incurred by the insured residents in the outpatient designated medical institutions are less than 100 yuan (inclusive) in an insurance year, the resident medical insurance** pays 30% and the individual pays 70%; If the amount is more than 100 yuan, the individual shall take care of himself/herself.
For urban employee medical insurance, the personal accounts on the medical insurance card of the insured are not all paid by themselves; Flexible workers.
Since last year, there is also a personal account of 15 yuan per month on the medical insurance card, which can be used to pay for outpatient expenses, which is equivalent to outpatient reimbursement (unless the insured person is a civil servant or the unit has another reimbursement policy).
Not covered by medical insurance.
What are the special medical expenses that require organ and tissue transplantation due to illness, the cost of purchasing organs and tissues, and the cost of using anti-rejection drugs and immunomodulatory drugs beyond the scope of drug reimbursement for Zhenjiang Employee Medical Insurance;
How to self-reimburse on your phone.
On the "Good Medical Insurance" page, you can see your real-time free medical benefits. If you want to select reimbursement, you can select the "I want reimbursement" option under the amount to enter the reimbursement request page.
On the application page, Alipay lists the conditions and procedures for reimbursement. You can apply for reimbursement for public hospitals above the second level according to your own situation.
Reimbursement items are for hospitalization expenses and do not include outpatient expenses, dental, plastic surgery and childbirth expenses.
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Summary. Hello, there are several ways to reimburse yourself after self-payment: 1: Bring your ID card, invoice, hospitalization certificate, and expense list to the medical insurance department for reimbursement.
Hello, there are several ways to reimburse yourself through self-payment: 1: Bring your ID card, invoice, hospitalization certificate, and expense list to the medical insurance department for reimbursement of the socks.
2: Bring your ID card, copy of ID card, medical record book, disease diagnosis certificate, relevant drug diagnosis and treatment invoice, closed dates and other materials to the local medical insurance agency for reimbursement, and some areas can be reimbursed through the local human resources and social security official website, human resources and social security app or third-party service Pingyan state distribution table**.
3: Enter Alipay, enter the keyword "good medical insurance" in the search box on the page, click "good medical insurance" and Yunling in the search results, enter the "good medical insurance" interface, you can see your real-time free medical benefits, and you can select the "I want reimbursement" option under the amount of reimbursement quietly, enter the reimbursement application interface, and apply for reimbursement according to your own situation.
To reduce the hassle, it is recommended that you try the <> using the third method first
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Summary. If you have already paid for your medical expenses out of pocket and want to be reimbursed by medical insurance, you can follow the steps below: save your medical expense invoices and receipts, and ask the hospital for the corresponding medical expense settlement details.
Go to your local health insurance bureau and submit a medical expense reimbursement application, along with relevant supporting materials such as invoices, receipts, and settlement details. It usually takes some time to wait for the reimbursement application to be reviewed and processed by the Health Insurance Bureau.
If you have already paid for your medical expenses and want to be reimbursed by medical insurance, you can follow the steps below: save your medical expense invoices and receipts, and ask Yuanshu Hospital for the corresponding medical expense settlement details. Go to your local health insurance bureau and submit a medical expense reimbursement application, along with relevant supporting materials such as invoices, receipts, and settlement details.
It usually takes some time to wait for the reimbursement application to be reviewed and processed by the Health Insurance Bureau.
It should be noted that the specific regulations of the same region and the medical insurance system may be different, and the specific operation details and requirements may also be different. It is recommended that you consult the relevant policies and operational requirements with the local medical insurance bureau before making medical insurance reimbursement, comply with the regulations and operate strictly in accordance with the requirements. In addition, for some medical expenses that are not covered by medical insurance, you need to bear the related expenses by yourself.
If you need to know the scope and proportion of medical insurance reimbursement in advance, you can also consult with the local health insurance bureau.
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Summary. Hello friends, you have already paid for medical insurance reimbursement, you need to bring your ID card, invoice, hospitalization certificate, and expense list to the medical insurance department for reimbursement.
Hello friends, you have already paid for medical insurance reimbursement, you need to bring your ID card, invoice, hospitalization certificate, and expense list to the medical insurance department for reimbursement.
Before the 10th of each month, the medical institutions of Dingxiao will report the cost statement, hospitalization statement and relevant information of the discharged patients in the previous month to the medical rental insurance agency, and after the medical insurance agency audits, the insured persons who are identified as having special diseases should go to a designated medical institution designated by the labor and social security department to seek medical treatment and purchase drugs, and the medical expenses incurred shall be directly billed and settled immediately.
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1. How to go to the medical insurance center for reimbursement after self-funded medical treatment (1) Settlement procedures for hospitalization and special disease outpatient clinics** Designated medical institutions shall report the cost statements, hospitalization statements and relevant information of the discharged patients in the previous month to the medical insurance agency before the 10th of each month, and the medical insurance agency will review and approve them as the basis for monthly pre-allocation and year-end accounts. The medical insurance agency pre-allocates the overall expenses of the previous month's inpatient and special disease outpatient clinics** every month. Duan Chai who has been identified as having a special disease should go to a designated medical institution designated by the labor and social security department to seek medical treatment and purchase medicines, and the medical expenses incurred shall be directly billed and settled immediately.
B) emergency settlement procedures insured personnel due to emergency rescue to the city's non-designated medical institutions and other medical institutions hospitalized, medical expenses, first paid by the individual or unit, after the end of the emergency rescue, with the hospital emergency medical records, examination, laboratory report form of the source type, invoices, detailed medical charges to the medical insurance agency in accordance with the provisions of the reimbursement procedures.
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