With the gradual establishment of the social basic medical insurance system in this city, employees in enterprises and institutions are also facing new medical security needs. Supplementary medical insurance has become an inevitable product of social development. As a supplement to the basic medical insurance, the supplementary medical insurance provided by the social medical insurance management institution voluntarily not only has unique advantages, but also conforms to the wishes of employees and units. The following are the relevant provisions on reimbursement in supplementary medical insurance: Article 6 The scope and content of reimbursement of supplementary medical insurance are exactly the same as that of basic medical insurance in Beijing. The medical expenses of the insured shall conform to the basic medical insurance drug list, diagnosis and treatment list and service list stipulated by this Municipality. Self-funded items stipulated in the basic medical care or self-funded supplementary medical insurance shall not be reimbursed. Article 7 After the medical expenses for outpatient (emergency) consultation and hospitalization of the insured are reimbursed by the basic medical insurance and/or the large medical mutual fund, the supplementary medical insurance shall be reimbursed according to the reimbursement ratio, deductible and limit stipulated in the supplementary medical insurance scheme agreed with the employer. Article 8 according to the contract signed with the employer, the maternity expenses (including general hospitalization expenses, examination expenses, operation expenses, delivery expenses, medicine expenses, etc.). Except for self-funded drugs and self-funded items, female employees who meet the relevant family planning regulations of the state and the government shall be reimbursed according to Beijing maternity insurance and other relevant regulations. The total reimbursement limit of maternity insurance and supplementary medical insurance is 8,000 yuan (if there are other reimbursement limits in the contract, it shall be handled according to the agreement). Article 9 According to the contract with the employer, the insured has an only child (including twins or multiple births) under the age of 18 who meets the national family planning regulations and has China nationality, and the medical expenses are reimbursed at the rate of 50%. Reimbursement items and the upper limit shall be implemented according to the contract. Children need to go to hospitals at or above the county level (level 2) or public children's hospitals for medical treatment. Children who participate in Beijing medical insurance for serious illness of students and children will be reimbursed by supplementary medical care after the settlement of Beijing medical insurance for serious illness of students and children. Children's reimbursement shall be implemented in accordance with the basic medical insurance regulations, the regulations of Beijing Municipality on the administration of public medical care, the provisions of Beijing Municipality on medical insurance for serious illness of students and children, and the catalogue of children's drugs used by Cizhi Company. Children's medical treatment should conform to the principle of one place per year (based on the place where children are reimbursed for the first time in a natural year). Article 11 If the insured and their children have no medical expenses (including birth and family planning expenses) in a supplementary medical year, they can apply to the CIIC Workers' Health Service Center within three months after the end of the supplementary medical year, and those who meet the requirements after examination can receive health incentive fees. Article 12 Supplementary medical insurance shall not pay medical expenses in the following situations: (1) Self-funded drugs and purchased drugs other than those stipulated in the basic medical insurance; (2) Drug expenses inconsistent with the diagnosis; (three) all medical expenses for outpatient and hospitalization in medical institutions other than the designated medical institutions; (four) medical expenses that do not meet or exceed the scope and standard of reimbursement of basic medical insurance; (five) all medical expenses caused by traffic accidents, medical accidents and other accidents; (six) all medical expenses caused by drug abuse, fighting and other illegal acts; (seven) all medical expenses caused by suicide, self-mutilation, alcoholism, etc. ; (eight) all medical expenses incurred abroad (including Taiwan Province, Hongkong and Macao); (nine) all medical expenses for medical treatment in special needs clinics and hospitalization in special needs wards; (ten) all medical expenses for diagnosis and treatment of infertility, all medical expenses for pre-pregnancy examination and all medical expenses for preventive medication; (eleven) medical expenses that should be paid by individuals in accordance with the provisions of the state and this Municipality. Thirteenth this supplementary medical insurance is based on the principle of basic medical payment in advance. In a natural year, the medical expenses incurred by the insured for outpatient (emergency) consultation or hospitalization due to illness exceeding the Qifubiaozhun of basic medical insurance shall be reimbursed by the basic medical insurance in advance. Supplementary medical insurance reimburses the medical expenses paid by employees in proportion in the basic medical insurance coverage on the basis of the segmented list issued by the medical insurance center and the original copy of the original documents or segmented medical expense bills, detailed lists and original diagnosis certificates issued by the hospital. The settlement year is synchronized with the basic medical insurance (according to the natural year). Article 14 If the medical expenses for outpatient (emergency) consultation of insured persons do not exceed the basic medical insurance Qifubiaozhun at the end of the year, they will be reimbursed by supplementary medical insurance from the end of the year to the first quarter of the following year based on the original documents of medical expenses, special prescriptions for medical insurance, outpatient medical records, detailed list of expenses and other original materials; The medical expenses incurred in the current year after the reimbursement of supplementary medical insurance shall not be reimbursed. Fifteenth insured hospitalization medical expenses should go through the reimbursement procedures at CIIC within one month after discharge. Maternity expenses of female employees who meet the national family planning regulations shall be reimbursed to CIIC within three months after childbirth. Medical expenses of employees' children can be reimbursed at any time in the current year. Sixteenth insured persons shall provide relevant reimbursement materials in accordance with the provisions of the basic medical insurance. If the reimbursement materials do not meet the basic medical requirements, supplementary medical insurance will not be paid. Article 17 The reimbursement of drug expenses shall be based on the amount stipulated in the basic medical insurance: acute diseases shall not exceed three days, chronic diseases shall not exceed seven days, and three boxes or boxes of external drugs shall be prescribed. When the dose exceeds the prescribed dose, the excess shall be paid by the insured. The medicine prescribed should be consistent with the disease treated. If there is any discrepancy, all medical expenses will not be reimbursed. Article 18 When the insured who works in other places and participates in the local basic medical insurance is reimbursed for outpatient (emergency) consultation and hospitalization expenses, the local basic medical insurance will reimburse them first, and then the materials will be submitted to CIIC for supplementary medical reimbursement procedures. If the local basic medical insurance does not reimburse outpatient and emergency expenses, it can be handed over to CIIC for supplementary medical reimbursement at any time.