The process of medical insurance reimbursement for hospitalization expenses is as follows:

1. Upon admission, patients with medical insurance will go through the social security registration formalities with their ID cards and then go to the ward for hospitalization;

2. When leaving the hospital, the doctor will arrange for the patient to leave the hospital, and go through the discharge settlement formalities with the admission registration form and ID card;

3. Then, the hospitalization documents, charging documents, insured medical insurance cards and ID cards will be settled at the medical insurance office set up in the hospital for on-site settlement. Patients can settle directly at the hospital without going to the social security center for reimbursement.

How to cancel the reimbursement after medical insurance reimbursement

1. Generally, it can be cancelled, but a cancellation statement should be made so that the hospital can stop the reimbursement process in time;

2. Outpatient reimbursement for medical insurance can be reimbursed if it is accidental injury treatment. Not all fees are reported for hospitalization medical insurance. The main presentation is the treatment fee, bed fee, operation fee and medical fee, etc., and the accompanying bed fee, air conditioning fee and washing fee are not reimbursed. In general, the reimbursement ratio for outpatient service is to deduct the deductible of 1 yuan and then pay in proportion, and the hospitalization fee is generally fixed and proportional.

What is the reimbursement rate for medical insurance hospitalization?

1. The reimbursement rate of community medical care depends on the level of the hospital. The higher the level, the less the reimbursement rate. Usually, the reimbursement rate of community medical insurance is 35%-45%.

2. The reported medical expenses and medicines are mainly included in the scope of medical insurance, but the medical facilities and medical expenses outside the scope of insurance are not reimbursed by individuals themselves;

3. After being hospitalized for 15 days, you will be discharged from the hospital, and then you will be hospitalized after a while. Only pay the hospital for 15 days.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China

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

article 29

the part of the medical expenses of the insured that should be paid by the basic medical bridge and pulse therapy insurance fund shall be directly settled by the social insurance agency, 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, so as to facilitate the insured to enjoy the basic medical insurance benefits.