Generally, local medical reimbursement takes 15 working days, and the local workflow is not too complicated, which may be faster. When reimbursing medical expenses, I need to provide my ID card, social security card (or medical insurance card), hospitalization medical records, medical expense list, expense invoice and bank card account number. After being audited by the medical insurance fund center, the medical insurance subsidy will be credited to the bank card account.
The reimbursement rate of medical insurance in different places is 70% to 95%, such as expensive drugs, special examinations and special treatments, 70%; Class B drugs are reduced by 80%; 88% of the threshold fee is more than 3,000 yuan; 3000-5000 yuan is 90%; 5000- 10000 yuan is 92%; 10000 yuan to 95% of the maximum payment limit.
Process of reimbursement for medical treatment in different places:
1. Call the consultation number of the new rural cooperative medical system in your hometown within 3 days before or after hospitalization to register for hospitalization;
2. After discharge, the residence certificate must be issued by the neighborhood office or neighborhood committee. If you work outside, you need a work certificate issued by your work unit;
3. After discharge, submit the medical record copy, summary list, hospitalization bill and discharge certificate to the place where the patient's ID card, cooperative medical certificate, residence or work certificate are submitted for reimbursement;
4. If you go directly to a hospital outside the province for chemotherapy from the participating place, you must go through the referral and transfer procedures before you can go to a different place for hospitalization.
Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. Insurance is generally undertaken by the government and implemented and managed by economic, administrative and legal means.
Legal basis:
People's Republic of China (PRC) social insurance law
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.
Thirty-second individuals across the overall regional employment, the basic medical insurance relationship with my transfer, the cumulative payment period.