1, which shall be used to pay the medical expenses that the insured and their family members meet the requirements within the scope of protection.
2, should be used to pay the insured and their family members within the scope of protection in accordance with the provisions of the drug costs.
3, used to pay the insured and their family members within the scope of protection in accordance with the provisions of the medical service costs.
4, should be used to pay the insured and their family members within the scope of protection of medical assistance costs.
5, should be used to pay the insured and their family members within the scope of protection of maternity insurance.
6, should be used to pay the insured and their family members within the scope of protection of serious illness insurance.
7, should be used to pay the insured and their family members within the scope of protection of supplementary medical insurance.
8, should be used to pay the insured and their family members within the scope of protection of work-related injury insurance costs.
9, should be used to pay maternity allowance within the scope of protection of the insured and their family members.
10, which should be used to pay other medical expenses that the insured and their family members meet the requirements within the scope of protection.
Medical insurance reimbursement methods are as follows:
1. Before seeing a doctor: Before seeing a doctor, you need to confirm the type and scope of your medical insurance, choose medical institutions and doctors that meet the medical insurance policy, and ensure that medical expenses can be reimbursed;
2. During medical treatment: during medical treatment, you need to fill in your basic personal information and medical conditions accurately, and provide your medical insurance card and related certification materials to doctors and medical institutions;
3. Reimbursement application: After seeing a doctor, you need to submit an application for reimbursement of medical expenses to the local social insurance management center or medical insurance office, and provide relevant medical expenses bills and supporting materials, such as outpatient invoices, prescription notes, medical records, etc.
4. Reimbursement review: medical insurance institutions review the application for reimbursement of medical expenses, check the information such as expenses and illness, and determine the proportion and amount of reimbursement;
5. Reimbursement payment: After approval, the medical insurance institution will pay the reimbursement amount to the applicant's bank account or medical insurance card.
To sum up, the insured should also consciously abide by the medical insurance regulations, do not abuse the medical insurance fund, do not forge medical bills and other materials, and maintain the security and stability of the medical insurance fund.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.