How to reimburse the medical insurance card for high school students, and how to apply for medical i

The medical insurance card handled in the school is handled for you according to your student status, the general statute of limitations is one year, and the school handles it once a year for students with student status, and you have graduated now, and the school will definitely not buy it for you again when you buy it again. If you don't have a one-year statute of limitations, you should be able to reimburse, but if you have a one-year statute of limitations, then there is no way to reimburse.

Legal analysis: All types of urban residents who are not covered by the city's urban household registration, the basic medical insurance system for urban employees and the new rural cooperative medical care system can apply to participate in the medical insurance for urban residents in accordance with the regulations. Documents to be brought to enroll in the insurance:

ID card and household registration booklet; Students over the age of 16 need to bring their Student ID; Children of migrant workers are required to bring their Temporary Residence Permit and proof of their parents' participation in Nanjing Social Insurance. Note: Subsistence allowance personnel also need to bring the "Nanjing Minimum Living Security Certificate"; Severe disabled persons (physical, intellectual, mental, blind and visual disabilities) of Level 2 and above are also required to carry the Certificate of Disabled Persons of the People's Republic of China; Key preferential care recipients also need to bring relevant certification materials issued by the civil affairs department; The children of workers in extreme poverty also need to bring the valid "Workers in Extreme Poverty Certificate" issued by the Municipal Federation of Trade Unions; Orphans must be accompanied by a certificate issued by the local street office of their place of residence by their guardian.

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

Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

The reimbursement scope of medical insurance for insured college students and middle school students mainly includes medical expenses for inpatient and outpatient serious diseases, general outpatient medical treatment, and chronic diseases that meet the regulations. The scope of reimbursement is as follows: There is no restriction on the type of disease for hospitalization reimbursement.

The scope of chronic diseases includes: coronary atherosclerotic heart disease (excluding occult type), chronic cor pulmonale, essential hypertension (above stage), recovery from cerebrovascular disease, decompensated liver cirrhosis, diabetes mellitus with chronic complications, chronic glomerulonephritis and comprehensive nephropathy, advanced malignant tumors, psychiatric diseases, lupus erythematosus, and Parkinson's disease.

Student Medical Insurance Reimbursement Rate:

1. 35% of the medical expenses less than 1,000 yuan will be reimbursed;

2. 45% of the medical expenses are more than 1,000 yuan (including 1,000 yuan) and less than 5,000 yuan;

3. 55% of the medical expenses are more than 5,000 yuan (including 5,000 yuan) and less than 10,000 yuan;

4. 65% of the medical expenses above 10,000 yuan (including 10,000 yuan) will be reimbursed.

Legal basis

Social Insurance Law of the People's Republic of China

Article 28.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

According to the basic requirements for the payment of basic medical insurance benefits in China, the insured shall go to the medical insurance institution to reimburse the medical expenses incurred by himself for medical treatment, and generally meet the following conditions:

1) The insured person must go to the designated medical institution of the basic medical insurance to seek medical treatment and purchase drugs, or hold the medical prescription issued by the doctor of the designated hospital to the designated retail pharmacy determined by the social insurance institution to purchase drugs.

2) The medical expenses incurred by the insured in the process of seeing a doctor must meet the scope and payment standards of the basic medical insurance insurance drug catalog, diagnosis and treatment items, and medical service standards before they can be paid by the basic medical insurance ** according to the regulations.

3) Among the medical expenses of the insured persons who meet the scope of payment of basic medical insurance, the part of the expenses above the minimum payment standard of social medical co-ordination and below the maximum payment limit shall be paid by the social medical co-ordination ** in a unified proportion.

Legal analysis: (1) Scope of insurance. Full-time undergraduate and junior college students and full-time graduate students who receive general higher education in various full-time ordinary colleges and universities (including private universities) and scientific research institutes.

2) Safeguard methods. College students' inpatient and outpatient serious illness medical treatment shall be solved by participating in the basic medical insurance for urban residents where the school is located in accordance with the principle of territoriality, and college students shall pay the fees and enjoy the corresponding treatment in accordance with local regulations, and the level of treatment shall not be lower than that of local urban residents. At the same time, in accordance with the existing regulations, we will continue to do a good job in the daily medical work of college students, so as to facilitate their timely medical treatment.

On the basis of participating in basic medical insurance, college students are encouraged to participate in commercial medical insurance and other ways to improve the level of medical security according to the principle of voluntariness.

3) Fundraising. The individual payment standards and subsidy standards for college students to participate in the basic medical insurance for urban residents shall be implemented in accordance with the corresponding standards for local primary and secondary school students to participate in the basic medical insurance for urban residents.

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

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

Article 53 of the Social Insurance Law of the People's Republic of China stipulates that employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with the national regulations of Shantuanxing, and employees shall not pay maternity insurance or assault fees. Article 54 Where an employer has already paid maternity insurance premiums, its employees shall enjoy maternity insurance benefits; The unemployed spouse of an employee shall be entitled to maternity medical expenses in accordance with the provisions of the state. The required funds are paid out of maternity insurance**.

Reimbursement process for medical insurance:

1. The parties should go to the hospital to go through the medical insurance network procedures with their medical insurance cards, ID cards, household registration books and other valid documents, and directly go through the settlement procedures when they are discharged;

2. Or bring all the relevant information to the relevant departments of the local social security center to apply for processing, and if you meet the requirements after the key review is completed, you can settle immediately.

Article 28 of the Social Insurance Law in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency, rescue and blind medical expenses, in accordance with the provisions of the State from the basic medical insurance **. Article 29 of the "Social Insurance Law" 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 institutions and drug business units. 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.