1, foreign reimbursement
If you want to health insurance foreign direct reimbursement settlement, you need to go through these processes:
To first register for the record, the selected point of medical institutions and then hold the card for medical treatment.
Reimbursement requires a copy of the original ID card, a copy of the original Nongjia medical card. As well as a copy of the hospitalization certificate, discharge certificate, charges during hospitalization, total charges at the time of discharge and a copy of the diagnostic certificate and medical records.
If the off-site reimbursement on the ID card and medical card and discharge documents on the line, off-site reimbursement has not been carried out on the need for the above that cut back to the local social security bureau management of the medical hall, or medical insurance bureau medical management hall on the line.
The need to pay attention to the following points:
One, the direct settlement of medical treatment in a different place, for the basic medical insurance participants.
Second, the direct settlement for medical treatment in other places is suitable for inpatients, not for outpatients.
Third, during the hospitalization period, the patient's medical insurance payment status shall not be cut off, or the card settlement will not be possible.
Four, only the amount of social security card, only with the function of cross-provincial medical treatment.
2, local reimbursement
Admission to the hospital with ID card and health insurance card in the hospitalization procedures, according to the hospital's rules and requirements of the deposit in advance. It is guaranteed that part of the expenses in the hospital will be included in the medical insurance reimbursement.
After the admission procedures are completed, the nurse will give you a sheet, they get the hospital window of the new rural cooperative register on the line, and so on the time of discharge with the doctor to give you the relevant procedures directly to the window of the new rural cooperative for the discharge settlement. If you're in the city, you don't have to run here and there, you can settle your claim at the hospital.
3, drug reimbursement
Participants can hold the medical insurance card in all designated medical institutions, designated retail pharmacies to purchase drugs, the cost of medicine can be directly settled by the card, the purchase of drugs are not counted as social coordination, all paid by the individual account, if the individual account is exhausted, you can use cash payments.
Expanded Information:
Materials needed for reimbursement:
For the convenience of reimbursement, it is recommended that when organizing the medical bills that need to be reimbursed manually, participants should organize the receipts in the order of receipts, corresponding bottom side, and details of treatment, and then bind the receipts according to the order of dates. The receipts should then be bound in date order to improve the efficiency of manual reimbursement.
The documents needed for manual reimbursement include:
1. Social security card.
2. Beijing Basic Medical Insurance Manual Reimbursement Expense Detail Form or Beijing Basic Medical Insurance Outpatient Upload Expense Detail Form.
3. "Beijing Municipal Health Insurance Manual Reimbursement Expense Audit Form" or "Beijing Municipal Health Insurance Outpatient Upload Expense Audit Form".
4. Fee Bill.
5. Bottom of the prescription.
6. Details of examination and treatment costs.
7, offer documents.
8, emergency diagnostic certificates (any one of the following will suffice: emergency (room) emergency prescription stamped with an emergency seal, Beijing medical insurance special prescription stamped with an emergency seal, emergency diagnostic certificates).
9. Beijing medical insurance referral (hospital) form.
At the same time, provide materials that meet the conditions for processing, such as:
1. A copy of the "Beijing Social Security Card Issue Reply Slip" or a copy of the "Beijing Social Security Card Business Reply Slip" or a copy of the "New Issue and Replacement (Replacement) of Social Security Cards Certificate".
2. A statement of outstanding fees issued by the organization and stamped with official seal.
3. Diagnostic certificate of family planning surgery and a copy of marriage certificate (retirees are not required to provide the certificate for IUD removal).
4. Receipt from the designated pharmacy of the city's health insurance and details of the expenses, and a prescription stamped with the seal of the designated medical institution.
5. A statement of traumatic injury with the official seal of the employer/social security office.
People's Daily Online - 8 cases can apply for manual reimbursement of health insurance
People's Daily Online - Pushing localities to optimize the process of reimbursement for medical treatment in other places and streamlining the working links
People's Daily Online - "No longer need to go back and forth for reimbursement"