What is sporadic reimbursement of medical insurance?

Sporadic reimbursement generally refers to sporadic reimbursement of medical expenses, which refers to the situation that the insured fails to settle accounts in the hospital for various reasons and needs to apply for reimbursement of medical expenses at the medical insurance agency where the insured is located.

Sporadic reimbursement mainly includes the following situations (taking Xi 'an as an example):

1, emergency admission: expenses that cannot be settled in the hospital due to emergency rescue and other reasons.

2. Resettlement in different places: medical expenses incurred when the insured person returns to his original place of residence (the insured employee unit shall issue a statement on resettlement in different places).

3. Going abroad for medical treatment: the medical expenses incurred by the insured employees who have gone through the formalities of medical treatment in different places (because the medical level of Xi 'an can't treat the diseases of the insured patients, it is necessary to fill out the referral approval form in the 3A and above hospitals in Xi 'an, and after the examination and seal by the hospital medical insurance office, go to the medical insurance agency where the insured person is located for approval and filing).

Extended data:

Processing data of sporadic reimbursement (taking Xi 'an as an example):

First of all, emergency rescue

1, diagnosis certificate

2, emergency medical records and doctor's advice (rescue records)

3. Diagnosis certificate

4. Invoice for hospitalization expenses (original or photocopy is required for transfer after emergency)

5. Hospital grade certificate (provided by different hospitals)

6.Xi Special medical records for basic medical insurance for urban workers or medical security for college students.

Second hospitalization

1, hospitalization invoice (original)

2. Certificate of medical treatment in different places or description of local medical conditions (stamped with the official seal of the company)

3. Home page of inpatient medical records (hospital seal)

4, long-term doctor's advice (hospital seal)

5, temporary doctor's advice (hospital seal)

6, cost summary table (hospital seal; No summary list, issued by the hospital certificate)

7. Hospital grade certificate (provided by different hospitals)

The insured to the unit (hospital) or unit (hospital) to collect the above information, should fill in the following information:

1, invoice detail card

2. Reimbursement data summary

Xi human resources and social security bureau-sporadic reimbursement of medical expenses