Resident medical insurance outpatient reimbursement need what materials

Resident medical insurance outpatient reimbursement need to prepare the following materials:

1, the original ID card or social security card;

2, the original diagnostic certificate of disease issued by a specialist doctor of the designated medical institution;

3, the original outpatient medical records, examination, test results report card and other medical information;

4, the original receipt of the unified financial and tax medical institution outpatient charges The original receipt;

5. The original computer-printed list of outpatient expenses or the original payment prescription issued by the doctor;

6. The original tax invoice and computer-printed list of designated pharmacies;

7. The original ID card of the agent is required if the application is done on behalf of the agent.

The process of medical insurance reimbursement:

1, medical treatment: go to the hospital or clinic for consultation or treatment;

2, payment: pay the medical fees you should pay at the hospital or clinic;

3, get the list of fees: in the process of medical treatment, the hospital or clinic will provide a list of fees, which lists the specific costs of the medical items and the amount of money;

4, fill in the reimbursement application form: with the list of expenses, fill in the health insurance reimbursement application form, fill in the need to provide their own basic information, list of medical expenses, medical insurance card and other related information;

5, hand in the information: the completed reimbursement application form and related information to the health insurance agency, you can submit it through the online or offline way;

6, the audit: health insurance The application form and information submitted will be audited by the medical insurance agency. After the audit, the medical insurance agency will credit the reimbursement to the individual's bank account or give cash reimbursement.

To sum up, the conditions for enrollment, contribution standards and reimbursement coverage may vary from region to region and from one health insurance system to another, so residents need to understand local regulations and policies and consult the staff of the local social insurance agency when enrolling in health insurance.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that are in line with the basic medical insurance drug list, diagnostic and therapeutic items, medical service facility standards, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and drug business units.