1. Insured residents need to provide social security cards or ID cards for medical treatment in designated hospitals in Jinan due to illness, which will be verified and uploaded by designated medical institutions.

2. When the insured residents are discharged from the hospital, they should first settle the expenses borne by individuals during hospitalization, and the designated medical institutions should go through the discharge formalities for them.

3. After the insured residents go through the discharge formalities, they will print the Statement of Account at the designated medical institution with the social security card, the original hospitalization invoice, the list of hospitalization expenses and the original relevant medical records for medical treatment.

4, the insured residents with social security card and "statement" to the medical insurance office for sporadic reimbursement procedures.

For reimbursement of critical illness insurance, specifically:

For major diseases, rare diseases and special diseases in hospital, the insured workers can enjoy 80% reimbursement of the actual payment amount of medical insurance (excluding the self-paid part of individuals and enterprises), and the cumulative upper limit of annual reimbursement is 300,000 yuan.

The reimbursement rate for non-major diseases is 70% (the reimbursement rate for employees with financial difficulties can reach 80%).

The reimbursement rate for family treatment, outpatient treatment and special disease treatment is 60%.

The medical expenses incurred by the insured for chronic diseases and special diseases in the inpatient and outpatient departments within a medical year, after being reimbursed by the basic medical insurance, are included in the residents' serious illness insurance, and the accumulated compliance medical expenses borne by the individual exceed1.4000 yuan. The specific reimbursement ratio is still unclear. It is recommended that you consult the local medical insurance department or relevant institutions for the latest details.

To sum up, the reimbursement of medical insurance for serious illness insurance for Jinan residents needs to be carried out in accordance with the prescribed procedures. If it meets the relevant conditions and standards, it can be reimbursed in accordance with the prescribed proportion. If in doubt or need further understanding, it is recommended to consult the local medical insurance department or relevant institutions.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.