1, outpatient medical record, diagnosis certificate (seal).

2. Invoice (seal) of medical expenses and list of total expenses (seal).

3, medical record home page, admission record, hospitalization certificate, discharge record, operation record, inspection report, long-term and short-term doctor's advice.

4, the unit (school) certificate (group insurance needs).

5. The identity card of the insured (the household registration book for adults and the household registration book for minors) and the identity card of the applicant (the parents of minors are the applicants).

6. Original insurance policy.

7. Medical insurance personnel need medical insurance books or combination therapy books.

8. The applicant's current passbook or card of China Agricultural Bank or China Construction Bank, Postal Service, China Bank and China Industrial and Commercial Bank.

Information required for accidental hospitalization claim:

1, outpatient medical records, diagnosis certificate.

2. Hospitalization invoice and expense list.

3, medical record home page, admission record, medical record page, hospitalization certificate, discharge record, operation record, inspection report, short-term doctor's advice.

4. Certificate of unit (school).

5, after the accident, trauma photos.

6. The identity certificate of the insured (the applicant's ID card).

7. Original policy, payment invoice and agent's ID card (legal person on the policy).

8. Medical insurance personnel need medical insurance books and combination therapy books.

9. In case of a car accident, you need a driver's license, driving license and traffic responsibility certificate.

10. If you are accidentally beaten, you need to report to the police station or record the power of attorney.

1 1, customer ID card, bank current passbook.

Extended data:

The reimbursement process of hospitalization medical insurance and matters needing attention

1. When entering or leaving the hospital, you must go through the registration formalities with the medical insurance IC card at the medical insurance management window of each designated medical institution. When in hospital, the individual pays the deposit of medical expenses in advance, and pays more and less after discharge. Medical expenses incurred before hospitalization registration are not included in the payment scope of basic medical insurance. If the emergency hospitalization fails to go through the hospitalization registration formalities in time, the emergency certificate should be used to go through the hospitalization formalities at the medical insurance management window the day after admission (postponed in case of holidays), and the overdue medical expenses should be borne by themselves.

2. The deductible line of the overall fund after the insured person is hospitalized: the deductible line varies from place to place, which is generally 10% of the average annual salary of employees in the whole city in the previous year. In a basic medical insurance settlement year, the medical expenses for multiple hospitalizations are calculated cumulatively.

3. If the insured person needs to be referred or transferred due to illness, the deputy chief physician or chief physician of the designated medical institution at or above the third level shall put forward the opinions of referral (hospital) after diagnosis, and the unit to which he belongs shall fill in the application form and go through the referral (hospital) formalities with the approval of the medical insurance management department of the designated medical institution. The transfer is limited to provincial specialized hospitals, and the expenses are paid by me first. The reimbursement standard is 10% first, and then the reimbursable amount is calculated according to local regulations.

4. When the designated medical institutions are discharged from the hospital, the designated medical institutions will calculate the reimbursement amount of medical insurance and the amount that individuals should pay. The reimbursement amount will be settled by the designated medical institutions and urban social insurance agencies, and the amount that individuals should pay will be settled by the designated medical institutions and the insured.

References:

Baidu encyclopedia-medical insurance reimbursement ratio

References:

Baidu encyclopedia-medical insurance reimbursement scope