First, see a doctor and keep the documents.
Poor households who have established a file card should choose medical institutions that meet the requirements when they go to the outpatient clinic to ensure the compliance of medical services and the effectiveness of reimbursement.
In the process of seeking medical treatment, poor households should properly keep all relevant medical expenses documents, including medicine fees, inspection fees, treatment fees, etc.
Second, prepare reimbursement materials.
In addition to medical expense documents, poor households also need to prepare poor household certificates, ID cards, social security cards and other related materials.
These materials are necessary to apply for reimbursement, so as to ensure that poor households can enjoy corresponding poverty alleviation policies and medical insurance benefits.
Third, submit an application for reimbursement
After the poor households have prepared all the materials, they should submit an application for reimbursement to the local social security or medical insurance department.
When submitting an application, poor households need to fill in the relevant reimbursement application form and submit all materials together.
Four. Audit and reimbursement
The social security or medical insurance department will review the reimbursement application submitted by poor households to verify the authenticity and completeness of relevant materials.
After approval, the department will reimburse the poor households for medical expenses according to the prescribed reimbursement ratio and amount.
To sum up:
When the poor households with the establishment of the file card are in the outpatient clinic, they should properly keep the medical expense documents, prepare the relevant materials, and submit an application for reimbursement to the local social security or medical insurance department. After the audit, poor households can enjoy corresponding poverty alleviation policies and medical insurance benefits to reduce the medical burden.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 25 provides that:
The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
"Guiding Opinions on Doing a Good Job in Health Poverty Alleviation for the Poverty-stricken People with Filing Cards" points out that:
All localities should comprehensively consider the actual situation of medical treatment for the poverty-stricken people with the establishment of a file card, implement preferential payment policies for the poverty-stricken people with the establishment of a file card, further improve the medical security level of the poverty-stricken people with the establishment of a file card, reduce the burden of medical expenses for the poor people, and effectively solve the problems of poverty caused by illness and returning to poverty due to illness.