1. Off-site reimbursement

If medical insurance is to be reimbursed directly in off-site settlement, these procedures need to be completed first:

First, you need to register for the record, select a designated medical institution and then get a medical card.

A copy of the original ID card and the original rural cooperative medical card are required for reimbursement. And the hospital admission certificate, the discharge certificate, the charge documents during hospitalization, the total charge documents at discharge and the copy of the medical record of the diagnosis certificate.

If the reimbursement is made in a different place, just take your ID card, medical card and discharge documents. If the reimbursement has not been made in a different place, you need to cut it back and hand it over to the medical hall managed by the local social security bureau or the medical management hall of the medical insurance bureau.

The following points should be paid attention to when seeking medical treatment in different places:

First, direct settlement of medical treatment in different places is aimed at the insured of basic medical insurance.

second, direct settlement for medical treatment in different places is suitable for inpatients, but not for outpatients.

3. During the hospitalization period, the payment status of medical insurance shall not be broken, otherwise it will be impossible to pay by credit card.

fourth, at present, only the amount of social security card can have the function of inter-provincial medical treatment.

2. Local reimbursement

When you are admitted to the hospital, you should go through the hospitalization formalities with your ID card and medical insurance card, and pay the deposit in advance according to the regulations and requirements of the hospital. Ensure that some expenses in the hospital are included in the scope of medical insurance reimbursement.

after the admission formalities are completed, the nurse will give you a list, and just take it to the new rural cooperative medical system window of the hospital to make a note. When you leave the hospital, you will go directly to the new rural cooperative medical system window with the relevant procedures issued by the doctor for discharge settlement. If you see a doctor in this city, you don't have to run here and there, and you can settle the reimbursement at the hospital at that time.

3. Reimbursement for drug purchase

Insured personnel can purchase drugs at all designated medical institutions and retail pharmacies with medical insurance cards, and their medical expenses can be directly settled by cards. When purchasing drugs, they are not included in the overall social planning, and they are all paid by personal accounts. If the personal account funds are used up, they can be paid in cash.

Extended information:

Materials needed for reimbursement:

In order to facilitate reimbursement, it is suggested that when sorting out medical bills that need to be reimbursed manually, the insured person should sort out the receipts in the order of receipt, corresponding party and treatment details, and then bind the receipts in the order of date, so as to improve the audit efficiency of manual reimbursement.

The materials required for manual reimbursement include:

1. Social security card.

2. Detailed List of Manual Reimbursement Expenses of Beijing Basic Medical Insurance or Detailed List of Uploading Expenses of Beijing Basic Medical Insurance Outpatient.

3. Audit Form of Manual Reimbursement Expenses of Beijing Medical Insurance or Audit Form of Uploaded Expenses of Beijing Medical Insurance Clinic.

4. bill of charge.

5. The bottom prescription.

6. Detailed examination and treatment expenses.

7. offer documents.

8. emergency diagnosis certificate (any one of the following is enough: emergency prescription stamped with emergency chapter, special prescription of Beijing medical insurance stamped with emergency chapter, emergency diagnosis certificate).

9. Beijing medical insurance referral (hospital) form.

At the same time, provide materials that meet the requirements for handling, such as:

1. Copy of Receipt for Issuance of Social Security Cards in Beijing or Receipt for Business of Social Security Cards in Beijing, or Copy of Certificate for New and Supplementary (Replacement) Social Security Cards.

2. The unit shall issue a description of the arrears and affix its official seal.

3. Copy of diagnosis certificate and marriage certificate of family planning operation (retirees do not need to provide it when taking the ring).

4. Receipts and expense details of designated medical insurance pharmacies in this city, and prescriptions stamped with special seals of designated medical institutions.

5. The description of trauma shall be stamped with the official seal of the employer/social security office.

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