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Is there a time limit for medical insurance hospitalization reimbursement? If so, what should I do if it exceeds the time limit?

1. The time for medical insurance reimbursement after discharge is limited, and the insured must go through the medical insurance reimbursement procedures within the specified time.

1. Medical insurance participants who are hospitalized in designated network hospitals can directly settle medical expenses on site when they are discharged.

However, due to special circumstances, such as insured persons seeking medical treatment in medical institutions in other provinces or cities, the insured must first pay the medical expenses and then go to the social insurance institution in the insured place to handle medical expense reimbursement procedures.

In this case, there is a time limit for applying for medical insurance reimbursement when you are discharged.

2. Time limit for reimbursement of medical insurance in other places: At present, my country has not fully realized the nationwide network of medical insurance. Therefore, insured persons who go to other places for medical treatment must pay the medical expenses first, and then go to the social insurance company with their ID cards, social security cards, hospitalization expense lists and other information. The institution handles the reimbursement procedures for hospitalization expenses.

In order to ensure the safety of medical insurance funds, various regions in my country have restricted the time for reimbursement of medical insurance in other places.

Due to the different actual situations in different places, the reimbursement time period also varies, but the basic stipulation is between 6 months and 1 year.

According to my country's current medical insurance policies, generally no reimbursement will be provided if the medical insurance reimbursement time is exceeded.

Generally, medical expenses are reimbursed that year and not every other year.

If you are hospitalized over a new year, you will also need to settle and reimburse the medical expenses for that year. Reimbursement cannot be made after the expiration date. Therefore, it is hoped that the insured can promptly apply for reimbursement to the local medical insurance agency after incurring relevant expenses.

For more information, please call the local Social Security Bureau service hotline 12333.

Extended information Referral and transfer settlement 1. If the insured person is transferred to other medical institutions for diagnosis and treatment due to limited conditions of designated medical institutions or due to specialized diseases, he must fill in the transfer approval form.

The treating physician will put forward the reasons for the transfer, the department director will put forward the opinion on the transfer, and the medical institution's medical insurance office will review it, and the director in charge will sign it, and then the patient can be transferred to the municipal medical insurance center for approval.

2. In principle, referrals should be made within the city before outside the city, and within the province before outside the province.

Referrals within the city are stipulated to be conducted between designated medical institutions.

Referrals from outside the city must be made by designated medical institutions above level three in this city.

3. The medical expenses incurred after the insured person is transferred to another hospital shall be paid in advance by the individual or unit in cash. After the medical treatment is completed, the insured person or his agent shall hold the transfer approval form, medical record certificate, prescription and valid documents.

Go to the medical insurance agency to reimburse hospitalization expenses that fall within the scope of payment from the overall fund.