Legal subjectivity:

The reimbursement process of serious illness medical insurance: Step 1, the insured person brings his ID card, medical insurance card and medical expenses list to the medical insurance department of the local designated hospital to fill in relevant forms for preliminary examination. The second step, the designated hospitals will report the information of the insured residents who have passed the preliminary examination to the urban medical insurance agencies for review. In the third step, the insured residents who pass the final examination are organized by the urban medical insurance agencies to issue reimbursement for serious illness medical insurance. Article 27 of the Social Insurance Law: Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment reaches the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations. Twenty-ninth insured medical expenses should be paid by the basic medical insurance fund, by the social insurance agencies and medical institutions, pharmaceutical business units directly settled. 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. Thirtieth the following medical expenses are not included in the scope of payment of the basic medical insurance fund: (1) should be paid from the industrial injury insurance fund; (2) It shall be borne by a third party; (three) shall be borne by the public health; (4) seeking medical treatment abroad. Medical expenses shall be borne by the third party according to law. If the third party fails to pay or cannot determine the third party, the basic medical insurance fund shall pay in advance. After the basic medical insurance fund has paid in advance, it has the right to recover from the third party. Thirty-first social insurance agencies can sign service agreements with medical institutions and pharmaceutical business units to regulate medical service behavior according to the needs of management services. Medical institutions shall provide reasonable and necessary medical services for the insured. Legal objectivity:

Social Insurance Law of the People's Republic of China Article 25 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. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly and minors who are over 6 years old in low-income families, etc., are subsidized by the government. Social Insurance Law of the People's Republic of China Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.