The materials required for social security reimbursement are the ID card, social security card and medical payment documents of the insured. Generally, patients need to pay their own medical expenses first, and then submit them to the social security center with their ID cards and all the documents issued by the hospital. However, in some places, when the medical expenses are settled, the medical insurance will be reimbursed at the same time, so it is no longer necessary to take the expense details to the Social Security Bureau for reimbursement.
Social security reimbursement is mainly the process of medical insurance reimbursement: when you need to be hospitalized, you can go to your designated hospital with your medical insurance card and medical records and settle it with your medical insurance card; If the patient is in critical condition and hospitalized in a designated hospital outside the hospital, he can be settled in the rescue hospital with the medical insurance card after being identified as an emergency rescue disease; Transferred to other places for treatment, the expenses incurred in other places shall be solved by the individual at his own expense. After the diagnosis and treatment, all materials will be submitted to the community labor security workstation for reimbursement.
The scope of use of medical insurance cards mainly includes the following four aspects:
1, used to buy medicines: the insured can buy medicines, medical devices and disinfection products at the designated pharmacies with the medical insurance account of the social security card;
2. Medical expenses: When the insured person is sick, he can use the social security card to register and see a doctor at the designated medical insurance point, and can enjoy hospitalization reimbursement.
3. Used to help relatives pay medical insurance fees: In the past, medical insurance accounts were only used by individuals, but now the immediate family members of the insured can also use the balance of their medical insurance accounts.
Although the social security card cannot be used for reimbursement of medical examination expenses, we can use the balance of the personal medical insurance account of the social security card to pay the medical examination expenses of designated medical institutions below the municipal level. In fact, you don't have to worry too much about the cost of physical examination, because even if it can't be reimbursed, in most cases, the unit will bear the cost of physical examination for some employees.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.