The reimbursement process of Jinan Hospital is as follows:
1. Pay medical insurance fees: Pay medical insurance fees at the employment unit or social security agency. Only after payment can you enjoy medical insurance benefits. Voluntary insured persons can go to the local social security agency to pay;
2. Seek medical treatment and obtain relevant certificates: undergo diagnosis and treatment in the hospital and obtain corresponding medical certificates, including outpatient medical records, inpatient medical records, medical orders, etc. Documents;
3. Go through the reimbursement procedures: Bring the medical certification documents to the medical insurance agency or community health service center to go through the medical insurance reimbursement procedures. Submitted materials include medical certification documents, personal identity certificates, social security cards, etc.;
4. Review and reimbursement: The medical insurance agency will review and confirm the reimbursement amount, and transfer the reimbursement amount to the personal social security account or directly return it to personal.
Hospital reimbursement materials:
1. Medical card and ID card: Medical card and ID card are the basic materials for reimbursement and are used to prove the patient’s identity and medical treatment;
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2. Outpatient medical record: The outpatient medical record is the doctor’s diagnosis record of the patient’s condition, including condition description, diagnostic conclusion, treatment plan and other information;
3. Medical expense list: The medical expense list is A detailed list of patient medical expenses issued by the hospital, including the name, amount, etc. of each expense;
4. Expense invoice: The expense invoice issued by the hospital is a necessary document for reimbursement, and the originals need to be kept;
5. Medical insurance card: The medical insurance card is an important voucher for reimbursement and needs to be presented when seeing a doctor so that the hospital can conduct medical insurance settlement.
In summary, different medical insurance reimbursement policies and procedures may be slightly different. For specific operating procedures, you can consult the local medical insurance agency or community health service center.
Legal basis:
Article 23 of the "Social Insurance Law of the People's Republic of China"
Employees shall participate in employee basic medical insurance, which shall be provided by the employer Units and employees must pay basic medical insurance premiums together in accordance with national regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexible employment personnel can participate in the basic medical insurance for employees, and individuals must pay for the basic medical insurance in accordance with national regulations. fee.