Your expenses are not approved by the local medical insurance. This does not allow you to reimburse twice. Only when they have finished the accounting can they make a second reimbursement. When medical insurance stops, it will not be reimbursed. Scope of medical insurance reimbursement 1. Medical insurance card reimbursement is limited to medical expenses above hospitalization caused by diseases and some accidents in designated hospitals. The reimbursement formula is: (total cost-threshold cost-self-funded cost-cost overrun) *(75+ age *0.2)%. In general, the actual reimbursement rate ranges from 20% to 60%.

What does the second reimbursement of medical insurance mean?

Generally speaking, after the first reimbursement, the self-paid part of the insured includes three parts: hospital threshold fee (hospitals of different levels)+unfinished part within the scope of medical insurance reimbursement+part outside the scope of medical insurance reimbursement (that is, it cannot be reimbursed). The "second reimbursement of medical insurance" means that after the first reimbursement, the unreported part of the insured's medical insurance reimbursement scope is reimbursed for the second time, and this part of the expenses can only be reimbursed if it exceeds 600 yuan.

Brief introduction of "hospitalization secondary medical insurance";

Coverage: hospitalization due to illness (including emergency observation and hospitalization), outpatient specific items and outpatient chronic disease treatment, death or disability caused by accidents and burns.

Conditions for participation: All employees (including party and government organs and institutions with free medical care) aged 0/6 ~ 60 in medical insurance coverage, Guangdong Province are eligible to participate.

Partial reimbursement ratio: the guarantee period is one year, and the premium is 95 yuan, high-risk industry 100 yuan. In-patient medical mutual fund reimburses 70% of the individual's out-of-pocket expenses within the overall scope of medical insurance for urban workers, and applies twice a year; The outpatient special disease mutual fund shall be reimbursed for 50% of the self-paid part within the overall scope of urban workers' medical insurance, and shall be applied once a year.

Medical insurance reimbursement is after discharge or transfer. Settlement process for inpatient and outpatient treatment of special diseases: 1. Before each month 10, the designated medical institutions will report the expense list, hospitalization list and related materials of patients discharged from the hospital last month to the medical insurance agency, and the medical insurance agency will review them as the basis for monthly pre-allocation and year-end final accounts; 2 medical insurance agencies pre allocated last month hospitalization and special disease outpatient co-ordination costs; 3. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security department for medical treatment and purchase medicines, and the medical expenses incurred shall be directly accounted for and settled immediately; 4. Emergency settlement procedure: the medical expenses incurred by the insured in emergency rescue to non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall go through the reimbursement procedures according to the provisions with the hospital emergency medical records, inspection, laboratory reports, invoices and detailed list of medical charges.