1 The medical insurance has been paid for three consecutive months, and it will take effect in the fourth month. You can reimburse related medical expenses, apply for a medical card in the social security department, and prepare hospital invoices, master bills, doctor's advice certificates, cases, etc.
2 In designated hospitals, hospitalization expenses and reimbursement scope caused by diseases and some accidents are not reimbursed for self-funded drugs, and 80% for ether drugs.
3. Materials required for reimbursement, original ID card or social security card, original disease diagnosis certificate issued by specialists in designated medical institutions, outpatient medical records, inspection and test results report forms, etc.
According to the basic medical insurance regulations for urban workers and relevant laws and regulations, the scope of medical insurance reimbursement is as follows: 1. Drugs allowed to be reimbursed within the scope of reimbursement of basic medical insurance; 2, within the scope of the basic medical insurance reimbursement allows reimbursement of diagnosis and treatment projects; 3 expenses incurred by medical service facilities that are allowed to be reimbursed within the scope of reimbursement of basic medical insurance. Reimbursement expenses are mainly paid by the overall fund, and individuals have to pay a corresponding part.
Legal basis: Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers.
Twenty-eighth personal accounts are used to pay medical expenses beyond the scope of the overall fund; If the personal account is insufficient to pay, it shall be borne by me.
Thirty-first basic medical insurance fund to pay part of the cost of diagnosis and treatment projects and class B drugs list, the proportion of individual pays, determined by the provincial people's government.
Thirty-second cholera, plague and other infectious diseases of medical expenses by
All funds have been paid. The medical expenses of explosive and epidemic infectious diseases confirmed by the administrative department of health shall be solved by the people's government.