If a worker goes to an employer for employment, the employer shall pay the work-related injury insurance premium and maternity insurance premium for him, and pay the basic old-age insurance premium, basic medical insurance premium and unemployment insurance premium along with it; Workers who are not employed by employers can directly pay social insurance premiums to social insurance premium collection agencies as flexible employees, but they can only pay basic medical insurance premiums and basic old-age insurance premiums.
Medical insurance reimbursement materials:
1, medical insurance card: hold a valid medical insurance card;
2. Medical records: medical records are needed, including the department, date, diagnosis result and treatment plan.
3. Prescription note: the original and photocopy of the prescription note are required, including the name, dosage, usage and time of use of the drug;
4. Receipt: the original and photocopy of the receipt for drug purchase or treatment expenses shall be provided, including the name, quantity, unit price and amount of the drug;
5. Hospitalization records: In case of hospitalization, hospitalization records, discharge summary and other hospitalization records shall be provided;
6. Other relevant materials: such as outpatient medical bills, inpatient medical bills, inspection reports issued by hospitals, laboratory tests, etc.
To sum up, the medical insurance reimbursement process may be slightly different in different regions, and the specific operation steps can be adjusted according to local policies and actual conditions.
Legal basis:
People's Republic of China (PRC) social insurance law
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The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 64
Social insurance funds include basic endowment insurance fund, basic medical insurance fund, industrial injury insurance fund, unemployment insurance fund and maternity insurance fund. In addition to the basic medical insurance fund and maternity insurance fund combined accounting, other social insurance funds are accounted for separately according to social insurance types. Social insurance funds implement a unified accounting system throughout the country. The social insurance fund is earmarked for special purposes, and no organization or individual may occupy or misappropriate it. The basic old-age insurance fund will gradually implement national overall planning, and other social insurance funds will gradually implement provincial overall planning. The specific time and steps shall be stipulated by the State Council.