Medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established to provide basic medical needs for workers within the scope of coverage when they fall ill.

All basic medical insurance premiums paid by individual employees are included in their personal accounts; basic medical insurance premiums paid by employers are divided into two parts, one part is transferred to the personal account, and the other part is used to establish a pooling fund.

In this article, I would like to introduce you to the relevant knowledge about the reimbursement of Sichuan Medical Insurance.

It mainly includes information about Sichuan Medical Insurance reimbursement process, Sichuan Medical Insurance reimbursement ratio, and Sichuan Medical Insurance reimbursement policy.

1. Sichuan medical insurance reimbursement process and required materials How to reimburse medical expenses after medical treatment in the city? Medical expenses incurred within the scope of the medical insurance policy in the city can be reported to designated service institutions in real time with your social security card (or temporary medical certificate)

Settlement.

Insured persons only need to pay their own medical expenses, and the rest will be reimbursed by the medical insurance fund in accordance with regulations.

How to reimburse medical expenses for insured employees after seeing a doctor outside the city? For medical expenses incurred outside the city that are within the scope of medical insurance, if the local area has established a remote network settlement of medical insurance with our city, the insured only needs to pay the medical expenses borne by the individual, and the rest will be as per

It is stipulated that reimbursement shall be made by the medical insurance fund; if the local area has not established a remote network settlement of medical insurance with our city, the insured person will advance all medical expenses, and then the person in charge of the unit or the insured person will go to the medical insurance agency in the insured place to review the reimbursement.

For insured persons who are hospitalized in other places and need to stay in the hospital for multiple years, the hospital should be required to settle the medical expenses for that year on December 31 of that year, so as to enjoy medical insurance benefits according to the policy.

2. Sichuan medical insurance reimbursement ratio and related policies 1. Summary list of overall hospitalization fee payment; 2. Overall hospitalization fee payment settlement form (the hospital must have an official seal); 3. Hospitals that are not connected to the Internet must open a special accounting form, and hospitals that are networked must open a special accounting form.

Special accounting forms must be opened under special circumstances; 4. Special bills for hospitalization charges produced or supervised by the finance and taxation departments; 5. Expenses list signed and approved by the patient or family; 6. Compound prescription of traditional Chinese medicine; 7. Certificate of discharge condition.