With the rapid development of Internet, information dissemination has become more and more extensive. When people encounter problems they don't understand in life and work, they just need to know them online. Today, Bian Xiao will introduce the medical insurance reimbursement process in Chengdu. I hope you can make it clear. Let's take a look together. I. Reimbursement conditions 1. Individuals begin to enjoy medical insurance benefits after the first continuous payment of 6 months; Unemployed persons who participate in (continue to participate in) medical insurance during the period of receiving unemployment insurance benefits or within 60 days after receiving unemployment insurance benefits shall enjoy medical insurance benefits from the month following the payment. Ii. reimbursement materials for hospitalization expenses in designated medical institutions: 1. Summary of overall payment of hospitalization expenses; 2. Statement on overall payment of hospitalization expenses (the hospital must build official seal); 3. Hospitals that are not connected to the Internet must open special accounting forms, and hospitals connected to the Internet must open special accounting forms under special circumstances; 4. Special bills for hospitalization fees supervised or supervised by financial and tax departments; 5. List of expenses signed and approved by patients or their families; 6. Chinese medicine compound; 7. Proof of discharge conditions. Iii. Handling process 1. The agent will submit the reimbursement documents and other materials to the insurance fund management institution for acceptance; 2. After receiving the application materials, the accepting department shall complete the examination, settlement and payment on the same day; 3. After the Social Insurance Fund Administration has reviewed the materials and approved the application, the applicant will receive the "Social Medical Insurance Medical Expense Reimbursement Form" and be reimbursed. Note: If the application materials are incomplete and all contents need to be corrected, the applicant shall correct the materials within 5 days from the date of receiving the Notice of Corrected Materials. If no correction is made within the time limit, the application shall be deemed to have been withdrawn. However, after the materials are corrected, the applicant may reapply within the statutory validity period. The applicant shall be reimbursed after receiving the Social Medical Insurance Medical Expense Reimbursement Form. I believe that you have a more comprehensive understanding of this issue after reading the introduction of the medical insurance reimbursement process in Chengdu. If in doubt, you can also bring relevant information and documents to relevant institutions for further consultation and understanding. If you have any other questions, please feel free to consult online. There are professional lawyers at your service.
Legal objectivity:
Article 28 of the Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.