1, the applicant submits the reimbursement documents and other materials to the social security institutions for acceptance;
2, the acceptance of the department since the receipt of the application materials, audit, settlement, payment work;
3, social security institutions to approve the application, the applicant receives social health insurance medical expense reimbursement bill to be reimbursed. The medical insurance reimbursement process is relatively simple, and now also opened the medical insurance reimbursement across the region, foreign medical treatment also do not need to travel back and forth to reimbursement of medical insurance.
Medical insurance reimbursement scope and standard:
1, the drugs are divided into class A, B and C drugs, of which class A drugs are clinically necessary for treatment, widely used, the cost of drugs of this type of drugs are all reimbursed in accordance with the proportion of medical insurance. Class B drugs are first paid a certain percentage, and then reimbursed by the health insurance, the specific reimbursement rate is different in different places of the health insurance bureau regulations are different;
2, diagnosis and treatment items refers to the hospital for treatment, the use of medical instruments, equipment and medical materials, mainly two ways to reimbursement of the full co-ordination of all the items are all included in the health insurance reimbursement, according to the prescribed proportion of payment. The first part of the integrated project, is to pay a part of the first, and then reimbursement according to the prescribed proportion;
3, medical service facilities standard, refers to the hospital bed fee, outpatient hospital bed fee and so on, the reimbursement scope and standard is different from place to place. If the social security of the medical insurance reimbursement scope is for the medical insurance catalog within the project reimbursement, including drugs, diagnostic and treatment items and medical services facilities.
In summary, the removal of lipomas is generally an outpatient surgery, the reimbursement rate is low, and the reimbursement rate will be higher after hospitalization; the health insurance reimbursement policy of each region is somewhat different, and it is recommended to consult with the local authorities, which can get a clear answer.
Legal basis:
Article 2 of the Social Insurance Law of the People's Republic of China
The state establishes a social insurance system of basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., to guarantee the right of citizens to obtain material assistance from the state and society in accordance with the law in the event of old age, illness, industrial injury, unemployment, maternity, etc.
The state has established a social insurance system to protect the rights of citizens to obtain material assistance from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.