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How is medical insurance reimbursement reimbursed?

Legal analysis: 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 according to national regulations. The process of medical insurance reimbursement is as follows: 1. Medical insurance users should prepare the materials for hospitalization and medical insurance reimbursement. Before the individual leaves the hospital, the attending physician will issue relevant diagnosis documents, medical records and so on. 2. Check out the hospital, and the invoice list of hospitalization must be kept. 3. Take these content materials to be reimbursed to the medical insurance reimbursement agency where the household is located for reimbursement.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China

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.

Article 3 The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(1) Those that should be paid from the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) It shall be borne by public health;

(4) seeking medical treatment abroad.

the 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.

Tips

The above answers are only made for the current information combined with my understanding of the law. Please refer to them carefully!

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