How to reimburse the hospital for medical expenses

When the insured person goes to the hospital, if the medical expenses are within the scope of reimbursement of the basic medical insurance drug catalog, diagnosis and treatment items, he/she can go directly to the social insurance agency, medical institution, or pharmacy for reimbursement, and provide his/her medical insurance card, ID card, and medical payment bill and other reimbursement materials.

Legal basis

Article 26 of the Social Insurance Law of the People's Republic of China

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 state regulations.

Article 28

Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with the state regulations.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.

Warm tips

The above answer, only for the current information combined with my understanding of the law to make, please be careful with your reference!

If you still have questions about the issue, we recommend that you organize the relevant information, with professionals to communicate in detail.