Nowadays, more and more people buy social security. How to reimburse the social security bought in Hangzhou? The following is some information about social security reimbursement in Hangzhou compiled by Zhishi Bian Xiao for your reference.

Hangzhou social security reimbursement method and application materials

First, the necessary materials:

Original and photocopy of the social security card of the insured, Xiamen local savings card with UnionPay logo of the insured or agent, and ID card of the agent.

Second, medical materials:

(a) outpatient medical expenses reimbursement:

Original invoice of outpatient service, detailed list of medical expenses, medical records of outpatient (emergency) consultation (detailed and complete diagnosis and treatment records).

(2) Reimbursement of hospitalization expenses:

Original hospitalization invoice, summary of medical expenses, discharge summary or record (the summary of the stage is provided in the middle of checkout, and the death record is provided by the deceased).

Three. Reimbursement category and supporting materials:

1. Transfer for medical treatment: If it is really necessary to transfer for medical treatment, if the condition is urgent, the formalities should be completed within 7 days of transfer and admission;

2. Resettlement and work in different places: if you want to live and work in different places for more than half a year, you must go through the registration formalities in advance;

3. Medical expenses during short-term outings such as business trip, visiting relatives and traveling: ① Acute illness: providing business trip certificate, visiting relatives certificate, travel contract, air ticket to real-name registration system, etc. Reimbursement); (2) outpatient maintenance treatment of chronic diseases: the medical records of Xiamen should be increased, and the measures of diagnosis and treatment should not exceed that of Xiamen;

4. Off-site delivery: hospitalization delivery expenses and reasonable prenatal and postpartum examination expenses;

5. The failure of social security system in Xiamen local and urbanized areas cannot be settled by credit card in real time: the invoice of the charging office of medical institution is endorsed and sealed;

6. The social security card is reported lost or damaged, and the printing of the business card is delayed: the back of the invoice of the social security card management department is stamped for confirmation;

7. The number of outpatient visits in a single month exceeds 20: the bill must be settled by credit card and show the number of registered visits, and outpatient records must be provided;

8. Acute illness or rescue without social security card: the medical records of outpatient or inpatient should be detailed and clear enough to be identified as acute illness or rescue;

9. Drug expenses outside the catalogue of retired cadres: do you need to provide them? Approval form for drugs outside the directory of retired cadres? And affix the official seal of the hospital medical insurance management department; The retired cadres entrusted by the provincial two-level charging center should provide health care certificates;

10. Insured status, change (payment interruption is not more than one month), change of insured unit, and delay in arrival of local tax information: reimbursement can be made after the local tax change is confirmed in the middle of the next month;

1 1. Medical expenses of newborns from birth: they should be insured within three months of birth and paid in time, and can only be reimbursed after receiving the money. Birth certificate (original and copy) must be provided; For newborns whose real names are unknown at the time of expenses, the names on reimbursement vouchers such as medical expense invoices, summary tables and discharge records should be uniformly added with the names of their mothers or fathers? Son? Or? Whose daughter? ;

12. Traffic accidents or other accidental injuries (except those for which the insured is not liable): Traffic accidents must provide the accident liability certificate issued by the traffic police, and the medical expenses paid by the third party will no longer be paid, and the insured will not be reimbursed for drunk driving, driving without a license or other intentional acts; Other accidental injuries must be confirmed by the public security department, and those who intentionally participate in fights or violate the regulations on public security management cannot be reimbursed;

13. Advance payment: If the third person cannot be identified (certified by the public security or judicial department), or if the third person can be identified, but it is difficult for the court to execute it (certified by the court), the application form for advance payment of Xiamen Basic Medical Insurance Fund shall be filled out and submitted for review and confirmation to meet the scope of advance payment stipulated by the social security law before reimbursement can be processed;

14. Those who participate in commercial insurance or other non-social basic medical insurance at the same time: those who have been paid by commercial insurance and other insurances must provide the original invoice, settlement decision and settlement expense calculation list stamped with the special seal for settlement business, and the medical expenses paid by commercial insurance and other insurances will not be reimbursed repeatedly.

The reimbursement method of social medical insurance in Hangzhou is 1. The reimbursement ratio of different medical insurance in different hospitals is different: if a person spends 10000 yuan in a hospital, if he is hospitalized in a first-class hospital, then 500 yuan will be deducted first; If you are hospitalized in a secondary hospital, first subtract 1000 yuan; If you are hospitalized in a tertiary hospital, you will be reduced by 2000 yuan first; And get rid of it? Non-medical insurance drug costs? And then what? Other expenses not covered by medical insurance? The rest of the employees reported 80%, retired or unemployed, and unemployed 50%. (Note: Medical insurance reimbursement only covers Class A drugs, that is, medical insurance drugs, and Class B drugs are not covered by medical insurance and cannot be reimbursed)

2. The proportion of on-the-job employees' hospitalization medical expenses reimbursement. Except for the self-funded part and 10%, the part of Class B expenses that exceeds the deductible expenses of hospital medical insurance enjoys the proportion of overall payment. Different hospitals have different deductible expenses, and the proportion of overall payment is also different. The proportion of medical insurance for employees is over 80% (82%/84%/87% in Wuhan), and that for residents is about 70% (80%/65%/50% in Wuhan).

3. The social security card has not adjusted any proportion of medical reimbursement. According to the Regulations of Beijing Municipality on Basic Medical Insurance issued in 2005, the social supplementary medical insurance for retirees under 70 years old is 50%. Payment institutions need to prepare copies of medical insurance manuals, medical bills, receipts and details when handling reimbursement procedures. For details, please also consult the labor security telephone number 12333.

Main functions of social security 1 The function of stabilizing social life.

2. The function of redistribution

3. Functions of promoting social and economic development: First, the social insurance system plays an important role as an important tool for demand management, thus playing an active role in the economy. Second, the effective use of social insurance funds can promote sustained economic prosperity.

Hangzhou social security reimbursement