First, prepare the reimbursement materials.
After patients receive treatment in the Second Affiliated Hospital of Xiangya and incur medical expenses, they need to collect and sort out all relevant medical expense invoices, diagnosis certificates, inspection reports and other original materials.
Ensure that all materials are true and complete, and affix the official seal of the hospital.
According to the types of personal medical insurance (such as medical insurance for urban workers and medical insurance for urban and rural residents, etc.). ), prepare the corresponding identification and medical insurance card.
Second, submit an application for reimbursement
Patients or their families bring the prepared reimbursement materials to the medical insurance settlement window of the Second Affiliated Hospital of Xiangya or the designated reimbursement processing place.
At the window or the handling place, fill in the application form for medical insurance reimbursement and submit relevant materials as required.
The staff will conduct a preliminary review of the submitted materials and enter them into the medical insurance system after confirmation.
Three, medical insurance audit and settlement
The medical insurance department shall review the submitted reimbursement application and verify the patient's identity information, medical expenses details, etc.
According to the medical insurance policy, calculate the amount of medical insurance reimbursement that patients should enjoy.
After approval, the medical insurance department will directly transfer the reimbursement amount to the patient's medical insurance card account or designated bank account.
Fourth, matters needing attention
During medical treatment, patients should properly keep all medical invoices and supporting documents for reimbursement.
Before submitting an application for reimbursement, patients should know the local medical insurance policies and reimbursement regulations in advance to ensure that the materials are complete and meet the requirements.
If you have any reimbursement questions or questions, please consult the staff of the medical insurance window of the Second Affiliated Hospital of Xiangya or the local medical insurance department.
To sum up, the reimbursement process of medical insurance in the Second Affiliated Hospital of Xiangya requires patients to prepare relevant reimbursement materials and submit reimbursement applications. After the medical insurance review and settlement, patients can enjoy the medical insurance reimbursement treatment. During the whole process, patients should take good care of medical invoices and supporting documents, and know the medical insurance policies and reimbursement regulations in advance.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28 provides that:
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29 provides that:
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.