The information required for reimbursement by the medical insurance is as follows:
1, the original medical insurance card and a copy of the front and back sides;
2, the original hospitalization invoice stamped with the medical institution's fee charging business seal;
3, a summary list of the details of hospitalization;
4, the diagnostic documents stamped with the seal of the medical institution;
5, the first page of hospitalization records or admission records;
6, a copy of the hospital discharge summary stamped with the special seal for the management of medical records in the medical institution. or admission record;
6. A copy of the discharge summary stamped with the seal of the medical institution's medical record file management.
Reimbursement process:
1. When registering for hospitalization: you need to present your medical insurance card and ID card, and the hospital will check and verify the participant's personal information and contributions in the medical insurance information system, and handle the admission procedures for him/her;
2. During the period of hospitalization: you are requested to remind the doctor that the use of self-paid medicines, diagnostic and therapeutic items and medical service facilities should be signed and agreed to by the patient or the family;
3. family members' signature;
3. Discharge: If the hospitalization treatment meets the criteria for discharge, the attending doctor will issue a discharge notice, and the participant will go to the discharge office to settle the bill with the discharge notice and medical insurance card.
In summary, the materials needed for reimbursement of medical insurance include the hospital's medical records, which need to be filled out by the doctor and a certificate of discharge; and the total account of medical expenses, including medicine, hospitalization fees, surgical fees, nutritional costs, consultation fees and other expenses that can be reimbursed by the medical insurance regulations, in addition to the original identity card of the person concerned as well as photocopies of the same.
Legal basis:
The Chinese people*** and the State Social Insurance Law, Article 10
The insurance contract is the policyholder and the insurer to agree on the insurance rights and obligations of the agreement. The policyholder is the person who enters into an insurance contract with the insurer and is obligated to pay premiums in accordance with the contract.
The insurer is the insurance contract with the policyholder, and in accordance with the contract to assume the responsibility for compensation or payment of insurance benefits.
Article 28
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency treatment and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.