Why do you have to wait three or four months to get the money after reimbursement for resident medic

Resident health insurance. When we were sick, we reduced a large part of our medical expenses, and as long as we applied for resident medical insurance, we could apply for medical insurance when we were sick and hospitalized.

Reimbursement, as long as the reimbursement conditions can be met, you can apply, although it is very convenient, but the time for reimbursement is uncertain, sometimes it will be faster, sometimes it is very slow, so why should the resident medical insurance wait three or four months to reimburse?

Under normal circumstances, the time for reimbursement to arrive is at least three months, and the longer time may be half a year.

Before the 10th day of each month, the patient's hospitalization expense statement and relevant materials need to be submitted to the medical insurance agency, and after the medical institution approves it, it will be used as the basis for the pre-allocation or year-end settlement of the month. So the reimbursement time will be longer.

The settlement process of the outpatient clinic for special diseases will also be different, and the patient who is identified as an insured person with a special disease needs to go to a designated designated medical institution for medical treatment, and the medical expenses spent during the ** period will be directly billed and can be settled immediately. If it is an emergency settlement, the insured person is not sent to the designated medical structure or a remote medical structure because of the first aid**, and the medical expenses incurred shall be paid by the individual in advance, and the emergency medical record of the hospital shall be presented after the emergency treatment is over.

Checklists, laboratory tests, medical expenses, invoices and other charges are reimbursed to the medical insurance agency.

How much can be reimbursed by using medical insurance is a topic of concern for many people, if it is an employee or retiree in the outpatient ** medical expenses, there is a co-ordinated ** proportional payment, and the individual bears part of the cost according to the proportion. Employees need to pay 20% for medical treatment. Retirees pay 15 per cent personally.

If the expenses incurred by retired or employees in hospitalization or outpatient emergency during the insurance year exceed the overall ** cap, the individual needs to bear a part of the cost, 30,000 to 100,000 medical expenses, and the individual pays 6%. For medical expenses of 100,000 to 200,000 yuan, individuals need to pay 4%. For medical expenses above 200,000 yuan, individuals need to pay 2%.

If the cumulative amount within 30,000 yuan exceeds 4,000 yuan, a one-time subsidy of 1,000 yuan will be given.

Because our medical insurance has a certain operation and a certain process, it takes some time to declare and approve, and the reimbursement of medical insurance needs to be verified, and the corresponding basic investigation needs to be done.

Because after this reimbursement, there is a certain procedure process, and it also takes a certain amount of time to go through this procedure.

In general, it takes at least three months for the reimbursement to arrive. If the time is longer, it may vary from half a year. Domestic medical insurance reimbursement can only be reimbursed after hospitalization or transfer.

Designated medical institutions need to submit a detailed list of patient expenses and related materials during hospitalization to the medical insurance agency before the 10th of each month, and after approval by the medical institution, as a pre-allocation or annual basis, the end of the month will be settled, so the reimbursement time will be longer.

Extended information: 1. Attention to medical insurance reimbursement:

1. There are many reimbursement restrictions for social medical insurance, and there are three catalogs of starting payment line, capping line, reimbursement ratio and medical insurance, which cannot solve all medical expenses.

2. The minimum payment line can be understood as the reimbursement threshold, which is equivalent to the deductible in commercial medical insurance.

The maximum amount that can be reimbursed is the upper limit, and the part that exceeds this amount needs to be paid by yourself.

2. Three classifications of medical insurance:

1. Category A: 100% reimbursement is available.

2. Category B: partial reimbursement. For this part of the expenses that have not been reimbursed, if there is money in the personal account of the medical insurance card, the medical insurance card will be swiped, and if there is no money, the medical insurance card will be paid in cash. It should be reminded here that if it is urban medical care and NCMS, it is good to pay cash directly.

3. Category C: completely self-paying. Most of the imported drugs and special drugs are within this range, and all the money that is not reimbursed at their own expense must be paid by themselves.

3. Medical insurance reimbursement process.

1. Go through the reimbursement application procedures, submit the relevant application materials required for reimbursement, and submit the materials at the medical insurance section of the social security branch of the social security ** administration bureau where the insured is located.

2. Waiting for the review of the materials, after receiving the applicant's reimbursement application, the acceptance department of the Administration will verify the application materials provided by the applicant within 5 days from the date of receipt of the materials.

3. The reimbursement application is completed, if the verification process is correct, that is, the application is successful, and the applicant can be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form".

4. It should be noted that if the application materials are wrong or incomplete, the acceptance department will notify the applicant to prepare all the required materials at one time within 5 days, and correct the incorrect content in the materials. The applicant shall complete the correction of the materials within 5 days from the date of receipt of the Notice of Correction of Materials. If the time limit is exceeded, it will not be supplemented and corrected, and the application will be withdrawn.

Hello, not the first number of often happy by me to your question, medical reimbursement money is generally a month to three months to arrive, in fact, this completely depends on the attitude of the handling staff, now a lot of handling personnel do not two things, they think they are national civil servants, do things procrastinating, do not put the interests of the people in the first place, so there will be reimbursement, after the funds have not been in place, since they say three months is normal, then you can only wait, Anyway, this money can't run away after all, I wish you all the best, and your family is happy and healthy

Summary. Relatives, under normal circumstances, the time for reimbursement to the account is at least three months, and the longer time may be half a year, and the resident medical insurance reimbursement is only reimbursed after the end of the hospitalization or after the transfer, and the designated medical institutions need to submit the patient's hospitalization during the expense settlement and related information to the medical insurance agency, and wait for the medical institutions to approve the pre-allocation or year-end settlement basis for the month.

Why do you have to wait three or four months to get the money after reimbursement for resident medical insurance?

Kiss, under normal circumstances, the time of reimbursement to the account is less than three months, and the longer time may be half a year, and the residents let the key jujube medical insurance reimbursement is my frank dismantling after the end of the hospitalization or after the transfer to the hospital can be reimbursed, the designated medical institutions before the ten days of each month, the cost settlement statement and related information during the patient's hospitalization need to be submitted to the medical insurance agency, and the medical institutions should wait for the approval of the medical institution, as the basis for the pre-allocation or year-end settlement of the month.

So the reimbursement time will be longer. The settlement process of the outpatient clinic for special diseases will also be different, and the patient is determined to be an insured person with a special disease, and needs to go to the designated medical institution designated by the jujube register for medical treatment.

If it is an emergency settlement, the medical expenses incurred by the paramedical personnel because the first aid is not sent to the designated medical structure or the reed structure of the remote medical department**, should be paid by the individual in advance, and after the emergency is over, the medical insurance agency will be reimbursed with the hospital's emergency medical records, hunger oak checklists, laboratory test sheets, medical expenses, invoices and other charging lists.

Is it reasonable for people to wait three or four months for medical reimbursement after medical treatment and medical insurance? I think this is a bit unreasonable, the time is too long, try to compress the time to one to two months will become a lot more reasonable, a lot of people life is very difficult, many people are sick and dare not go to see, getting older and older, and there are more and more on the body, so these people will not go to the doctor, because they know that they can't afford to see a doctor at all, and they don't dare to see a doctor, this phenomenon is very terrible. <>

In the face of such a wild situation, the state has launched medical insurance reimbursement, but what,This is also a symptom but not a cure, because the medical insurance is issued for a very long time, so many people have no money to see a doctor on the delay, drag on for three or four months to see a doctor spine digging, this time to a large extent to delay the disease, so it is very unreasonable to say that these three or four months are issued, you have to understand that many people are even very difficult, your medical insurance is issued a little later, then Lao Baixin's medical treatment will become very difficult, this point you still have to change. <>

Why do I think a month or two is enough, if I were this group of ordinary people, I would definitely hope that the sooner the better, but I consider that your review will take time, so I think a month or two will be fine in this matter, but I still very much hope that you can shorten this time to a few weeks, because sometimes you are very anxious about this, as fast as you can, it can be said that saving people is a race against time, I think you also know this truth. <>

Is it reasonable for people to wait three or four months for medical reimbursement after medical treatment and medical insurance? I think this is a bit unreasonable, the time is too long, try to compress the time into one to two months will become a lot more reasonable, although this time is still a bit large, but it is better than three or four months, so I suggest that the time can be shortened, don't make people wait too long.

Such an approach is very unreasonable, because 3 or 4 months is too long, and for ordinary people, it is simply not possible to wait so long.

It's not very reasonable, because I think this time is a bit too long, and it should be shortened to about a month.

This is reasonable, because it is understandable that the staff will also check the relevant reimbursement regulations when reimbursing health insurance.

I think that within a month, one review time is enough in the era of big data networks.

Why do you have to wait three or four months to get the money after reimbursement for resident medical insurance?

Under normal circumstances, the time of reimbursement is at least three months, and the longer time may be half a year, and the resident medical insurance reimbursement is only reimbursed after the end of the ** hospitalization or after the transfer, and the designated medical institutions need to submit the patient's hospitalization period to the medical insurance agency before the 10th of each month, and the medical institutions need to wait for the medical institutions to approve the pre-allocation or year-end settlement basis of the month. So the reimbursement time will be longer. The settlement process of the outpatient clinic for special diseases will also be different, and the patient is identified as an insured person with a special disease, and he needs to go to the designated designated medical institution for medical treatment, and the medical expenses spent during the ** period will be directly billed and can be settled immediately.

If it is an emergency settlement, the insured person is not sent to the designated medical structure or a remote medical structure because of the first aid, and the medical expenses incurred should be paid by the individual in advance, and after the first aid is over, the medical insurance agency will be reimbursed with the hospital's emergency medical records, examination sheets, laboratory test sheets, medical expenses, invoices and other charging lists.

Summary. Hello dear, glad for your question oh <>

It takes three or four months to get the money after the reimbursement of medical expenses, what is the problem: the time for reimbursement is usually at least three months, and the longer time may be half a year, and the resident medical insurance reimbursement is only reimbursed after the end of the hospitalization or transfer, and the designated medical institutions need to submit the patient's hospitalization during the expense settlement and related information to the medical insurance agency, and wait for the medical institution to approve the pre-allocation or year-end settlement basis for the month. So the reimbursement time will be longer.

What is the problem with the fact that it takes three or four months to get the money after the reimbursement of medical expenses?

Hello dear, glad for your question oh <>

It takes three or four months to get the money after the reimbursement of medical expenses, what is the problem: under normal circumstances, the reimbursement time is at least three months, and if the time is longer, it may be half ruined. It is used as the basis for the current month's advance or year-end close. So the reimbursement time will be longer.

The following related expansions, I hope to help you hold the chain: the settlement process of the special disease outpatient clinic will be different, the patient is identified as an insured person with a special disease, and needs to go to the designated designated medical institution for medical treatment, and the medical expenses spent during the ** period will be directly billed and can be settled immediately. If it is an emergency settlement, the insured person is not sent to the designated medical structure or a remote medical structure because of the first aid, and the medical expenses incurred should be paid by the individual in advance, and after the emergency is over, the medical insurance agency will be reimbursed with the hospital's emergency medical records, examination sheets, laboratory test sheets, medical fees, invoices and other charges.