The reimbursement process of children's hospitalization fund generally includes the following steps: applying for reimbursement, submitting relevant certification materials, waiting for review, and receiving reimbursement.
First, apply for reimbursement.
During hospitalization or within a certain period of time after discharge, parents or guardians need to apply for reimbursement to the children's hospitalization fund management institution in their area. The application method can be online or offline, and the specific method needs to refer to the regulations of local management agencies.
Second, submit relevant certification materials
When applying for reimbursement, you need to submit the following relevant supporting materials:
Children's identification (such as household registration book, ID card, etc.). );
The child's hospitalization certificate (such as hospitalization records, discharge summary, etc.). );
Invoice or receipt of medical expenses;
Other certification materials that may be needed (such as diagnosis certificate, medication list, etc.). ).
Third, waiting for review.
After submitting the relevant certification materials, you need to wait for the audit of the children's hospitalization fund management agency. In the process of audit, the management institution may verify the submitted certification materials, and may require parents or guardians to supplement relevant certification materials when necessary.
Fourth, receive reimbursement.
If approved, the children's hospitalization fund management institution shall pay the reimbursement to the parents or guardians in accordance with the prescribed reimbursement ratio and limit. Payment methods can be cash, bank transfer, etc. , the specific method needs to refer to the provisions of the relevant local departments.
To sum up:
The reimbursement process of children's hospitalization fund includes four steps: applying for reimbursement, submitting relevant supporting materials, waiting for review and receiving reimbursement. Parents or guardians need to prepare relevant supporting materials and apply for reimbursement on time according to the regulations of local administrative organs. In the audit process, if necessary, relevant supporting materials should be supplemented in time. If approved, you can receive reimbursement according to the prescribed reimbursement ratio and limit.
Legal basis:
Article 31 of the Social Insurance Law of People's Republic of China (PRC) stipulates that social insurance agencies may sign service agreements with medical institutions and pharmaceutical business units to regulate medical service behavior according to the needs of management services. Medical institutions shall provide reasonable and necessary medical services for the insured. For the reimbursement process of children's hospitalization fund, it may be necessary to refer to local specific policies and regulations.