How to reimburse hospitalization for universal health insurance?

National health insurance is a national medical security system promoted by China government, aiming at providing basic medical security for all insured persons. If you participate in the universal health insurance, you need to make medical insurance reimbursement, and the reimbursement operation is as follows:

1. Go to a hospital within the scope of medical insurance. After the treatment, you need to register for reimbursement at the medical insurance window of the hospital.

Reimbursement registration needs to provide identity certificates, medical certificates and other related materials, and the specific materials can be consulted with the local medical insurance department;

2. The staff in the medical insurance window will check your relevant information and issue a list of medical expenses, which will list the details of your medical expenses and the reimbursement ratio.

3. Personal medical expenses shall be paid according to the requirements of the statement, and the rest shall be reimbursed by the medical insurance fund.

4. It should be noted that if hospitalization is required, it is usually necessary to provide a hospitalization statement for reimbursement. Therefore, during hospitalization, you must properly keep the hospitalization statement for reimbursement. At the same time, you can also consult the local medical insurance department about the specific reimbursement policies and requirements of medical insurance in order to better enjoy medical security.

Hospitalization process:

1, first register to see a doctor and find out what the disease is;

2, the doctor said to be hospitalized, and the doctor wrote a notice of hospitalization;

3. Take this form to the hospital charge window, fill in the hospitalization ID card materials, and pay the hospitalization mortgage;

4. Take the inpatient ward indicated on the deposit slip to find the head nurse;

5. The nurse found me a ward and a bed;

6. Hospitalization;

7. Pay the bill and leave the hospital;

8. Good luck.

To sum up, if the hospital does not have online settlement, it should bring ID cards, hospitalization invoices, hospitalization expenses details and other materials to the medical insurance center of the insured place for reimbursement.

Legal basis:

Article 8 of the Detailed Rules for the Implementation of the Social Insurance Law

The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.