The process of medical insurance for serious illness in hospital is as follows:
1. Understand the medical insurance policy for serious illness: The medical insurance policy for serious illness in different regions may be different, so it is necessary to understand the local policies, including the conditions of participation, the scope of reimbursement, the proportion of reimbursement, etc.
2. Submit application materials: Applicants need to apply for medical insurance for serious illness at local social security institutions, medical insurance centers or insurance companies, and submit relevant application materials, such as ID cards, social security cards, medical expense invoices, etc.
3. Waiting for approval: after the application materials are submitted, you need to wait for the approval of the medical insurance department or insurance company, and the general approval period is 1-2 months;
4. Reimbursement of medical expenses: After approval, the medical insurance department or insurance company will reimburse the insured person's medical expenses according to relevant regulations.
The information required for medical insurance for serious illness is as follows:
1. Identity certificate: the applicant must provide valid identity documents, such as ID card and passport;
2. Medical certificate: the applicant should provide medical certificate of serious illness, such as hospitalization medical record, hospitalization invoice, doctor's diagnosis certificate, etc.
3. Social insurance certificate: the applicant must provide social insurance certificate, such as social security card and social security payment certificate;
4. proof of family income: applicants need to provide proof of family income, such as proof of salary income, proof of bank deposit, proof of real estate, etc.
5. application form: applicants need to fill in the application form for serious illness medical insurance, such as the application form for serious illness medical insurance for urban workers and the application form for serious illness medical insurance for rural residents.
To sum up, applicants should provide true and accurate information when applying for medical insurance for serious illness, and they will bear corresponding legal responsibilities if they provide false information. At the same time, applicants need to keep relevant application materials and reimbursement vouchers in case they need to inquire or deal with related problems in the future.
Legal basis:
Article 19 of the Regulations of the People's Republic of China on Basic Medical Insurance for Urban Workers
All the basic medical insurance premiums paid by employees are included in their personal accounts.
25-35% of the basic medical insurance premium paid by the employer is used to establish individual accounts for retirees and employees, and the specific distribution method is formulated by the provincial people's government according to the principle of caring for the elderly; The remaining funds are used to establish a unified fund.
Article 2
The basic medical insurance fund shall be managed with two lines of revenue and expenditure, and shall be incorporated into the financial special account of the social insurance fund, which shall be used exclusively for the basic medical care of employees and retirees, and shall not be used for other purposes.