Social medical insurance reimbursement is reimbursed after discharge or transfer to another hospital.

Settlement procedures for hospitalization and outpatient treatment of special diseases: Designated medical institutions shall submit the cost settlement statements, hospitalization settlement statements and relevant information of patients discharged last month to the medical insurance agency before the 10th of each month. After review by the medical insurance agency

, as the basis for monthly pre-allocation and year-end final accounts; the medical insurance agency pre-allocates the overall cost of hospitalization and outpatient treatment for special diseases every month; insured persons who are identified as suffering from special diseases should go to the labor and social security department

When you purchase medicines from a designated medical institution, the medical expenses incurred will be directly recorded and settled immediately.

Emergency settlement procedure: If an insured person is hospitalized in a non-designated medical institution or an off-site medical institution due to emergency rescue, the medical expenses incurred will be paid in advance by the individual or unit first. After the emergency rescue is completed, the insured person will be paid with the hospital’s emergency medical records, examinations, and laboratory tests.

Report forms, invoices, and detailed medical charge lists will wait until the medical insurance agency handles the reimbursement procedures in accordance with regulations.

Settlement procedures for persons resettled in other places: For persons resettled in other places, their units shall designate 1-2 designated medical institutions in their place of residence and report them to the medical insurance agency for record; for persons resettled in other places who are sick, they shall be sent to designated medical institutions in their place of residence.

For medical expenses incurred in the clinic, the individual or the employer shall advance payment in advance. After the treatment, the employer shall present the insured person's medical certificate and medical records, valid expense receipts, double prescriptions, hospitalization expense list, etc. to the social medical insurance agency on the specified date.

The institution performs settlement.

Referral and transfer settlement: If the insured person is transferred to other medical institutions for diagnosis and treatment due to limited conditions in designated medical institutions or due to specialized diseases, he or she must fill in the transfer approval form.

The treating physician shall put forward the reasons for the transfer, and the department director shall put forward the opinion on the transfer, which shall be reviewed by the Medical Insurance Office of the medical institution, signed by the director in charge, and reported to the Municipal Medical Insurance Center for approval before the transfer can be made; in principle, referrals shall be made within the city first and then outside the city.

, first within the province and then outside the province.

Referrals within the city are stipulated to be conducted between designated medical institutions.

Referrals outside the city must be made by designated medical institutions above the third level in this city; the medical expenses incurred after the insured person is transferred to another hospital shall be paid in cash by the individual or unit in advance, and after the medical treatment is completed, the insured person or his agent shall hold

Referral and hospital transfer approval forms, medical record certificates, prescriptions and valid documents are submitted to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of payment by the unified fund.