1, if the medical insurance card is within the reimbursement scope of the overall account, it can be directly reimbursed by medical insurance. Just show the medical insurance card when buying medicine, and part of the expenses of Class B drugs can also be reimbursed by the overall account of medical insurance;
2. If you do not meet the reimbursement rules of the overall account, you can use the money in the personal account of the medical insurance card to pay directly by credit card. For example, the remaining expenses of Class B drugs and Class C drugs after being reimbursed by the overall account can be paid directly to the designated medical institutions with the medical insurance card.
Medical insurance reimbursement process:
1. The agent submits the reimbursement documents and other materials to the social security agency for acceptance;
2. After receiving the application materials, the accepting department shall review, settle accounts and pay;
3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form".
When reimbursing, you must bring the following information:
1, original ID card or social security card;
2, the original certificate of disease diagnosis issued by the designated medical institutions;
3, outpatient medical records, inspection, test results report and other original medical information;
4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;
5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;
6, designated pharmacies, tax-controlled goods sales unified invoice and computer printed list of the original;
7. If it is an agent, you need to provide the original ID card of the agent.
Legal basis: Article 26 of People's Republic of China (PRC) Social Insurance Law.
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund 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.