1. When registering in hospital: you need to show your medical insurance card and ID card. The hospital will check the personal data and payment of the insured person in the medical insurance information system and handle the admission procedures for them;
2. During hospitalization: Please remind doctors that the use of self-funded drugs, diagnosis and treatment items and medical service facilities must be signed and agreed by patients or their families;
3. Discharge: If the hospitalization meets the discharge standard, the attending doctor will issue a discharge notice, and the insured will go to the discharge office with the discharge notice and medical insurance card for settlement. It usually takes no more than 7 days to get medicine from the hospital. At the time of discharge settlement, the insured or their families should sign the "Guangzhou Medical Insurance Expense Settlement Form" for confirmation.
Information required for reimbursement of medical treatment in different places:
1, the original medical insurance card and its front and back copies;
2. The original invoice for hospitalization is stamped with the seal of the charging business of the medical institution;
3. Detailed summary list of hospitalization;
4, medical institutions stamped diagnosis proof materials;
5, the first page of hospital medical records or admission records;
6. A copy of the discharge summary is stamped with the special seal for medical records management of medical institutions.
Medical insurance reimbursement conditions:
1, the insured person must go to the designated medical institution of basic medical insurance or the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital;
2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations;
3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.
To sum up, children with Shenzhen household registration under the age of 18 who live outside the city need to go through the registration procedures in different places at the municipal social security agency in advance, and the medical expenses incurred in different places can be reimbursed according to regulations.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium 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.