The medical insurance reimbursement process is as follows:

1. Hospitalization medical expenses shall be paid by individuals in advance. After discharge, medical insurance card, ID card, outpatient medical record, discharge summary, general list of expenses (detailed list of expenses), disease diagnosis certificate, valid bill (original invoice), doctor's advice, copy of the first page of medical record, certificate issued by the school, certificate of transfer to hospital and relevant certificate issued by the college shall be provided. For medical treatment in different hospitals, materials from different hospitals should be provided; In the same hospital, according to the different hospitalization time (before the expenses are written off, such as being treated in the same hospital after discharge), materials of hospitalization in different periods should also be provided;

2, after the opening of the credit card settlement function, the student himself or his guardian or client shall, within three days of hospitalization, go to the medical window of the service hall of the municipal medical insurance center with the student ID card, the provincial social security card, the medical record of the hospital, the certificate of disease diagnosis and the certificate issued by the college;

3. Treatment of emergency expenses of non-designated medical institutions: within 3-5 working days of emergency, first contact or entrust others to register with the municipal medical insurance management center through the student medical insurance management center of our hospital, and the medical expenses will be paid in advance by myself. At the time of reimbursement, apply for reimbursement to the municipal medical insurance center with the above reimbursement materials (non-medical insurance designated hospitals or clinics cannot be reimbursed).

The medical insurance reimbursement process for urban residents is as follows:

1, sick and hospitalized within three days, with valid certificates such as medical insurance card or ID card and household registration book. , go through the medical insurance networking formalities at the hospital medical insurance office, and go through the settlement formalities directly at the hospital medical insurance office when leaving the hospital;

2, trauma hospitalization, within three days of hospitalization, with medical insurance card or ID card, household registration book and other valid documents to the hospital medical insurance office for medical insurance networking procedures, after the audit of the medical insurance department, in line with the provisions of medical insurance reimbursement, when discharged directly to the hospital medical insurance office for settlement procedures; If the investigation is unclear or disagrees, after discharge, bring all documents such as medical records, invoices, statements and copies of my passbook to the audit department of the medical insurance business office for investigation, and then to the medical insurance management department for reimbursement;

3. In case of accidental injury in the outpatient department, after the treatment, take all documents such as outpatient medical records, invoices and copies of my passbook to the medical insurance department for investigation, and then to the medical insurance management department for reimbursement of urban residents.

To sum up, the reimbursement rate of maternity insurance for employees in Linyi City is 100%, that is, eligible employees' maternity medical expenses can be fully reimbursed. The proportion and scope of reimbursement of maternity insurance for employees may be different due to different regions and policies, so the specific situation needs to be determined according to local actual conditions and policies.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

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.