Refunds from hospitalization checkout will be transferred to the bank card. Generally, it takes about 7 working days for the hospital settlement department to complete the review. The confirmed refund transfer usually takes 1-3 working days to arrive in the account.

Refund process and instructions for outpatients:

1. Refund of drug fees

In principle, the drugs issued cannot be returned or exchanged. In special circumstances, the prescriber must be consulted Fill out the "Outpatient Refund Approval Form" and fill it out item by item according to the requirements of the approval form. After approval and signature by the relevant departments and leaders in charge, the patient can go to the service center to handle the refund procedure with the complete approval form.

2. Refund the treatment fee/examination fee

The treating doctor will fill in the "Outpatient Refund Approval Form" according to the requirements of the approval form, and fill it out item by item. After approval and signature by the director of the relevant department, the medical department, and the leader in charge, the patient can go to the service center to handle the refund procedure with the complete approval form and medical records.

Extended information:

Instructions for use of medical insurance card

Function

Medical insurance card is a functional card containing a chip, used for medical treatment or Used for identity verification and personal account payment for medical insurance when consuming in pharmacies. For example (the initial password of Wuhan’s medical insurance card is 1234). Medical insurance medical records, a type of medical record, can be used in all medical insurance designated hospitals in the same city to record medical insurance medical treatment.

The so-called medical insurance hospitalization reimbursement - it is not that you advance cash and then reimburse with a receipt, but when you are hospitalized in a medical insurance designated hospital, you issue a medical insurance card and let the unified medical insurance settlement system read the insured person's information and process it. According to the hospitalization number, when you are discharged from the hospital and settled, the medical insurance system will not charge you the "reimbursed" part - the overall payment part.

Outpatient reimbursement

Resident medical insurance:

In an insurance year, the ordinary outpatient expenses incurred by insured residents at designated outpatient medical institutions are within 100 yuan (inclusive) ), the resident medical insurance fund pays 30% and the individual pays 70%; if the cost exceeds 100 yuan, the individual shall pay for it himself.

Urban employee medical insurance:

The personal account on the medical insurance card of the insured person insured by the unit is not all his own personal payment; the medical insurance card of the flexible employment personnel has changed from the previous year. At the beginning, there is also a personal account of 15 yuan per month, which can be used to pay outpatient expenses, which is equivalent to outpatient reimbursement (unless the insured is a civil servant or the unit has other reimbursement policies).

If you are hospitalized under medical insurance, you need to show your medical insurance card, read the card into the medical insurance system, pay a deposit (usually a threshold fee), and enter the expenses incurred into the system. The system will automatically classify it into self-pay, Category A, Category B, etc., Category B Pay 10% out of pocket first.

Then enter basic medical care. Based on the number of annual hospitalizations (threshold fee is halved for more than 1 time) and hospital level (threshold fees are different and pooling ratios are different), the computer will calculate how much you should pay, and the hospital will then How much does it cost to settle the bill with the social insurance medical insurance center?

You can check online on the local social security website. Any insured person can enter their ID number in the "Personal Inquiry" section of the homepage of the website with their ID number, and enter the passwords from 12th to 17th of the ID number as required. After entering, click "Personal Inquiry" - click "Medical Care" Check "Insurance Designated Institutions" or "Medical Insurance Designated Pharmacies".

This website can also check the cardholder's payment status, personal account balance, and historical consumption status.

Replacement process

At this stage, after the medical insurance card is degaussed or lost, the social security card will be directly replaced according to regulations. The specific process is:

(1) If it is replaced The card belongs to the same bank. I will go to the employee medical insurance card service bank with my valid ID to report the loss. The sub-district labor and social security service center will accept the application for the social security card with the bank's "Lost Report Notice" and my valid ID. The time is 45 working days. After receiving the social security card and injecting capital, the amount in the original medical insurance card will be automatically transferred to the social security card, and no account liquidation is required.

(2) If the card is not from the same bank before and after the card change, the process of receiving the social security card is the same. However, the amount in the original medical insurance card will not be automatically transferred to the social security card. You need to go to the social insurance branch center in the insured area with valid documents and issue an "Employee Medical Insurance Card Clearance Notice". Go to the original employee's medical insurance card service bank with the notice and your valid ID to handle the liquidation of the medical insurance card.

Baidu Encyclopedia--Social Medical Insurance Card