1, local reimbursement

(1) When you are admitted to the hospital, you should go through the hospitalization formalities with your ID card and medical insurance card, and pay the deposit in advance according to the regulations and requirements of the hospital. Ensure that part of the expenses in the hospital are included in the scope of medical insurance reimbursement.

(2) After going through the admission formalities, the nurse will give you a list and take it to the new rural cooperative medical system window of the hospital to make a record. When you leave the hospital, you can go directly to the new rural cooperative medical system window for discharge settlement with the relevant procedures issued by the doctor.

2. Off-site reimbursement

Medical expenses within the scope of reimbursement of basic medical insurance in different places should be filed at the local medical insurance service center first, and then reimbursed at the medical insurance service center of the insured place after treatment.

Medical insurance for urban and rural residents in 320 yuan every year. Generally, there is only a pool account, not a personal account. This kind of medical insurance card has no money and can only be used when in hospital. That is to say, after the insured person is insured, during illness or hospitalization, the outpatient expenses of hospitalization and special diseases that meet the requirements can enjoy medical expenses compensation.

legal ground

Article 3 of the Social Insurance Law of People's Republic of China (PRC): The use of medical insurance funds should be centered on people's health, and the level of protection should be commensurate with the level of economic and social development, following the principles of legality, safety, openness and convenience.

Article 4 The supervision and management of the use of medical insurance funds shall combine government supervision, social supervision, industry self-discipline and personal trustworthiness.

Article 5 The people's governments at or above the county level shall strengthen the leadership over the supervision and management of the use of medical insurance funds, establish and improve the supervision and management mechanism and law enforcement system for the use of medical insurance funds, strengthen the capacity building for the supervision and management of the use of medical insurance funds, and provide guarantee for the supervision and management of the use of medical insurance funds.

Article 9 The State shall establish and improve a unified national medical security handling management system, provide standardized and standardized medical security handling services, and realize full coverage of provinces, cities, counties, towns (streets) and villages (communities).

Article 10 Medical insurance agencies shall establish and improve business, financial, safety and risk management systems, do a good job in service agreement management, cost monitoring, fund allocation, treatment review and payment, etc., regularly disclose the income and expenditure and balance of medical insurance funds to the public, and accept social supervision.

Article 11 Medical security agencies shall establish a collective consultation and consultation mechanism with designated medical institutions, reasonably determine the budget amount and disbursement time limit of the medical security fund of designated medical institutions, and sign a service agreement with designated medical institutions in consultation according to the needs of safeguarding public health and managing services, standardize medical service behavior, and clarify the behaviors and responsibilities of violating the service agreement.