Medicare reimbursement categories and supporting materials:
1, transfer to foreign medical treatment: must be transferred to foreign medical preparation procedures, such as emergency, should be transferred to the hospital within seven days of the additional procedures;
2, the relocation of foreign settlements, foreign work: the requirements of foreign residence, work in more than six months, and must be prepared beforehand for the preparation of the formalities;
3, business trips, visits, tourism and other short-term outside during the medical expenses: ① acute illness: reimbursement of proof of business trip, proof of family visits, travel contracts, real name air tickets, etc.; ② outpatient maintenance of chronic diseases: increase the provision of Xiamen diagnosis and treatment of medical records, diagnostic and therapeutic measures during the period of time out of the Xiamen can not be more than the original diagnostic and therapeutic measures in Xiamen;
4, childbirth in a different place: inpatient labor and delivery costs and reasonable prenatal and postpartum check-up costs;
5, Local and homogenized areas of social security system failure can not be real-time card settlement: invoice endorsement by the health care provider's fee office to prove and stamp;
6, social security card loss or damage, delay in card production: social security card management section of the back of the invoice stamp to confirm;
7, outpatient clinic visits more than 20 times in a single month: the charge notes must be card settlement and show the number of registered visits, must provide clinic records;
7, outpatient clinics more than 20 times: charges must be card settlement and display the number of registration, and must provide clinic records;< /p>
8, acute illness or rescue did not carry a social security card: outpatient or hospitalization medical records should be recorded in detail, clear enough to be recognized as an acute illness or rescue;
9, retired cadres outside the directory of the cost of medicines: need to provide "retired cadres outside the directory of the approval of medicines" and stamped with the hospital's official seal of the health care management department; the province of the two fee The health care objects of retired cadres hosted by the center must provide health care certificates;
10, the status of participation, change, change of participating units, the delay in the arrival of the local tax data: the local tax for the completion of the change procedures and the confirmation of the arrival of the account in the middle of the following month can be processed for reimbursement;
11, the newborn baby born with medical expenses: three months after birth should be timely for the participation of the insurance and payment of fees, the contributions can only be processed for reimbursement after payment of fees to the account. Reimbursement. Birth certificates must be provided; for newborns who are not named at the time of incurring expenses, the name on the medical invoice, summary list, discharge record and other reimbursement vouchers will be uniformly adopted as the mother's or father's name followed by the words "之子" or "之女".
Summary, social health insurance is one of the five major insurance, for the masses of our country's health to provide basic protection, participate in the basic social health insurance, you can enjoy part of the medical expenses reimbursement treatment.
Legal basis:
Article 28 of the Law of the People's Republic of China on Social Insurance
Conformity with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency, salvage medical expenses, in accordance with state regulations from the basic medical insurance fund.
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.