1. Copy of the identity certificate of the insured;
2. Original receipt of medical expenses (with details of outpatient medical expenses);
3. Medical manuals, prescriptions, lists, laboratory tests and other originals.
Two, commercial hospitalization medical insurance reimbursement materials need to be prepared:
1. Copy of the identity certificate of the insured;
2. A copy of the medical record shall be stamped with the seal of the hospital (the original ID card of the injured person shall be copied to the medical department of the hospital);
3. The original receipt of medical expenses and the original details of hospitalization medical expenses;
4. Original medical manuals, prescriptions, lists and laboratory tests;
5. Discharge summary (provided and stamped by the hospital);
6. If there is social security reimbursement, a social security reimbursement list shall be provided.
Extended data:
Article 28 of the Social Insurance Law stipulates that medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
According to the basic requirements of the payment of basic medical insurance benefits in China, the insured person who goes to the medical insurance institution to reimburse the medical expenses incurred by himself for medical treatment generally meets the following conditions:
(1) The insured must go to the designated medical institution of basic medical insurance or to 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 basic medical insurance drug list, diagnosis and treatment items, the standard scope of medical service facilities and payment standards, and be paid by the basic medical insurance fund according to regulations.
(III) Among the medical expenses that the insured meets the scope of payment of basic medical insurance, the part that is higher than the Qifubiaozhun of the social medical co-ordination fund and lower than the maximum payment limit shall be paid by the social medical co-ordination fund in a unified proportion.
References:
Medical Insurance-Baidu Encyclopedia? People's Republic of China (PRC) Social Insurance Law-Baidu Encyclopedia