1. The reimbursement methods for medical treatment in different places are as follows:
(1) Advance before reimbursement. Patients should bear all medical expenses first, and then bring the hospitalization certificate and related bills to the medical insurance bureau where they are insured for reimbursement;
(2) Direct settlement. As long as the social security card is swiped, the expenses borne by the individual can be directly settled;
(3) offline filing. Bring your valid ID card, social security card and other related materials to the medical insurance agency where you are insured for medical treatment in different places;
(4) Online channels. It can be handled through the national medical insurance service platform and the official website of the National Medical Insurance Bureau.
2. Legal basis: Article 8 of the Regulations for the Implementation of the Social Security 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.
2. What are the reimbursement conditions for medical insurance in different places?
The conditions for reimbursement of medical insurance in different places are:
1, IC card, basic medical insurance card, green photo, or basic medical handbook for urban residents;
2. Valid receipts, documents and invoices;
3, hospitalization expenses summary list, medical insurance referral letter of introduction, discharge certificate;
4. Hospitalization materials: copy of the first page of hospitalization medical records, admission records, operation records, discharge summaries, large-scale inspection reports, long-term doctor's orders and temporary doctor's orders, which need to be stamped with the seal of the medical institution.