1, apply for reimbursement, submit the relevant application materials required for reimbursement, the submission of materials in the location of the participant in the Social Security Fund Administration of the Social Security Bureau of the branch of the Medical Insurance Section.
2. Waiting for the examination of the documents, after receiving the application for reimbursement, the acceptance department of the Administration will verify the application materials provided by the applicant within 5 days from the date of receipt of the materials.
3, the reimbursement application is completed, if the verification process is correct, that is, the application is successful, the applicant can be reimbursed after receiving the "Social Health Insurance Medical Expenses Reimbursement Form".
Materials for reimbursement of medical insurance for medical consultation:
1, medical insurance card: hold a valid medical insurance card;
2, consultation record: need to provide consultation record, including consultation department, date of consultation, diagnosis results, treatment plan, etc.;
3, prescription pad: need to provide the original and copy of the prescription pad, including the name of the drug, dosage, usage, time of use and other information
4, receipts: you need to provide the original and copies of receipts for the purchase of drugs or treatment costs, including the name of the drug, the number of unit price, the amount of money and other information;
5, hospitalization records: if you are hospitalized, you need to provide inpatient hospital records, discharge summary and other hospitalization records;
6, other related materials: such as the outpatient medical expenses settlement statement, the inpatient medical expenses settlement statement, hospital-issued inspection reports, laboratory reports, etc..
In summary, the process of medical insurance reimbursement may be slightly different in different regions, and the specific operation steps can be adjusted according to the local policy regulations and actual situation.
Legal basis:
Article 2 of the Social Insurance Law of the People's Republic of China
The State establishes a social insurance system for basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the right of citizens to obtain material assistance from the State and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment and maternity.
Article 3
The social insurance system adheres to the policy of broad coverage, basic protection, multi-level and sustainability, and the level of social insurance shall be commensurate with the level of economic and social development.
Article 4
Employing units and individuals within the territory of the People's Republic of China*** and the State pay social insurance premiums in accordance with the law, and have the right to inquire about the records of payment of premiums and the records of individual rights and interests, and to request that the social insurance administration agencies provide social insurance counseling and other related services.
Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise the payment of contributions for them by their own units.