I. The basic process of medical insurance reimbursement for documented households
When a documented household seeks medical treatment, it should first confirm whether the medical institution belongs to the designated unit for medical insurance reimbursement. Usually, public hospitals above the county level and designated community health service centers can be used as reimbursement points.
During the process of medical treatment, Jianfenglikan households need to keep all kinds of medical expense vouchers, including invoices, diagnostic certificates, prescription slips and so on. These vouchers are an important basis for subsequent reimbursement.
After the completion of the medical treatment, the households need to bring the relevant vouchers to the local health insurance department for reimbursement application. When applying for reimbursement, you need to fill out a medical insurance reimbursement application form and provide valid identification documents, proof of being a poor household with a structured card, and other materials.
After receiving the application, the health insurance department will conduct an audit. After the audit, the reimbursement amount will be paid directly into the bank account of the file-setting card household, or distributed through other means.
II. Precautions
Built-up card households should understand the local health insurance policy before seeking medical treatment, so that they can choose eligible medical institutions and medical service programs when seeking medical treatment.
When making reimbursement, they should ensure that the vouchers provided are true and complete, so as to avoid reimbursement failure due to incomplete or false vouchers.
If there are special circumstances that make timely reimbursement impossible, the Jianfengkaca households should explain the situation to the health insurance department in a timely manner and follow the prescribed time and requirements to make up for the reimbursement procedures.
In summary:
The reimbursement of medical insurance for documented card-carrying households is a preferential policy for the poor, aiming to alleviate their burden of medical treatment. When seeking medical treatment, documented card households should choose qualified medical institutions and keep the medical expense vouchers properly. At the end of the visit, they should bring the relevant vouchers to the local health insurance department to apply for reimbursement. During the application process, you should make sure that the vouchers provided are true and complete, and comply with the relevant regulations and requirements.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 23 stipulates:
Employees should participate in the basic medical insurance for employees, and the employer and the employee should pay the basic medical insurance premiums in accordance with the state regulations***. Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.
Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents
Article 1 stipulates:
Integration of the two systems of basic medical insurance for urban residents (hereinafter referred to as urban residents' medical insurance) and the new type of rural cooperative medical care (hereinafter referred to as New Rural Cooperative Medical Care), and the establishment of a unified basic medical insurance (hereinafter referred to as urban/rural residents' medical insurance) system for urban and rural residents is a way of advancing the reform of the medical and health system and realizing the results of development. Reform of the medical and health system, the realization of the fruits of development **** enjoy, promote social justice and enhance people's well-being of the major initiatives to promote the coordinated development of urban and rural economic and social development, and comprehensively build a moderately prosperous society is of great significance.