If you see an emergency, you can go to the district medical insurance center with invoices, medical record cards, medical insurance cards, ID cards and other documents afterwards, and submit an expense account after examination. This reimbursement method is called "sporadic reimbursement for outpatient and emergency departments";
If you had seen the clinic at that time, there was only one thing to report, that is, the medical insurance card was damaged, but it must be confirmed by the hospital certificate. Therefore, it is recommended to go to the hospital for emergency treatment for citizens who have forgotten to bring them, or who have not brought their medical insurance cards for sudden illness.
The insured to the medical insurance institutions for reimbursement of medical expenses incurred by their medical treatment, generally meet the following conditions:
1, the insured person must go to the designated medical institution of basic medical insurance or the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital.
2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations.
3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.
Extended data
The use of social medical insurance card is as follows:
1, scope of use of medical insurance card
Insured employees can swipe their cards on POS machines with passwords when purchasing medicines in designated hospitals and pharmacies, but they cannot withdraw cash or transfer money.
2, medical insurance card balance query
Insured employees can inquire about the balance by telephone, or at China Bank Savings Office or designated hospitals and pharmacies in urban areas. You can also log in to the social security inquiry system online.
3, medical insurance card transaction query
Insured employees can print medical insurance card transaction records with their ID cards and medical insurance to China Bank Savings Office, including expenditure records and consumption records of personal account funds. If you have any questions about the transaction records, you can go to the retail business department of Bank of China.
4, medical insurance card password
If the insured employees change their passwords, they can make changes by phone, or they can make changes with their ID cards at China Bank Savings Office. If the insured employee forgets his password, he can report the loss of the original password with his ID card to China Bank Savings Office and change it.
5, medical insurance card custody
Insured employees should take good care of their medical insurance cards. If you accidentally lose it, please immediately issue a letter of proof to the unit and stamp it in the medical insurance office for confirmation. Then, they will take their ID cards to China Bank Savings Office to report the loss and go through the replacement procedures. After 7 days, they can get a new card.
6. Matters needing attention
When the number of medical insurance card transactions reaches 60, the insured employees must print the transaction records at China Bank Savings Office, or stop using the card. After the transaction record is printed, the card can continue to be used.
Baidu encyclopedia-social medical insurance card
Baidu encyclopedia-medical insurance
Baidu encyclopedia-medical insurance