2. Resettlement and work in another place: It is required to live and work in another place for more than half a year, and registration procedures must be completed in advance;
3. Short-term outings such as business trips, family visits, and tourism Medical expenses: ① Acute diseases: When reimbursing, provide business trip certificates, family visit certificates, outbound travel contracts, real-name air tickets, etc.; ② Outpatient maintenance treatment of chronic diseases: increase the medical records of Xiamen outpatient treatment, and the diagnosis and treatment measures during the period away from home cannot exceed the original diagnosis and treatment measures in Xiamen;
4. Delivery in another place: hospital delivery expenses and reasonable prenatal and postpartum examination expenses;
5. If the social security system in local and urbanized areas fails and cannot be settled by credit card in real time: it will be settled by the medical institution Endorsement certificate and seal of the invoice from the charging office;
6. Report loss or damage of social security card, delay in card issuance: Stamp the back of the invoice from the Social Security Card Management Department for confirmation;
7. Outpatient form The number of medical visits per month exceeds 20: the fee bill must be settled by card and show the number of registrations, and outpatient records must be provided;
8. Acute disease or rescue without a social security card: outpatient or inpatient medical records should be recorded in detail and clearly , enough to be considered an acute disease or rescue;
9. Expenses for drugs outside the catalog for retired cadres: the "Approval Form for Drugs Outside the Catalog for Retired Cadres" must be provided and stamped with the official seal of the hospital's medical insurance management department; Health care recipients of retired cadres must provide health care certificates;
10. Insured status, change, change of insured unit, delay in arrival of local tax data: after completing the change procedures at the local tax and confirming the arrival in the middle of the next month Reimbursement can be applied for;
11. Medical expenses for newborns starting from birth: Insurance enrollment and payment should be made in time within three months of birth, and reimbursement can only be made after the payment is received. A birth certificate must be provided; for newborns who are not named when expenses are incurred, the name on medical expense invoices, summary lists, discharge records and other reimbursement documents shall be the mother's or father's name followed by "son" or "daughter".
To sum up, the medical expenses incurred by the treatment of diseases during hospitalization, the treatment expenses incurred by radiation for cancer patients, the treatment expenses incurred by dialysis for kidney disease patients, the outpatient medical expenses of taking anti-rejection drugs after kidney transplantation, The medical expenses for patients who are admitted to the inpatient department after emergency rescue and stay for observation for seven days before hospitalization.
Legal basis:
Article 28 of the "Social Insurance Law of the People's Republic of China"
Comply with the basic medical insurance drug catalog, diagnosis and treatment items, Standards of medical service facilities and medical expenses for emergency and rescue services shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29
The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit .
The social insurance administrative department and the health administrative department should establish a medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.