What is the hospital reimbursement process?

Legal analysis: 1. If you want to use medical insurance for reimbursement, you must use your own medical insurance card to register. The cardholder of the medical insurance card must be you;

2. Hold the The registration form just now is for seeing a doctor in the medical department. The doctor will prescribe medicine and the patient can take the doctor's prescription payment slip to pay;

3. Go to the hospital's payment window and wait for the staff to settle the corresponding fee, and then Pay the bill yourself and hand your social security card to the staff. The staff will use the social security card to reimburse you for medical expenses. Many drugs are covered by the state, but some are not covered by medical insurance and must be paid for by yourself.

Documents required for reimbursement:

1. Bring documents for outpatient reimbursement: outpatient invoice, cooperative medical certificate or medical record;

2. Bring documents for hospitalization reimbursement: hospitalization Invoice, cooperative medical certificate or medical record, detailed list of expenses, discharge summary and other relevant certificates;

3. Outpatient special disease reimbursement materials, outpatient invoice, special disease cooperative medical certificate;

4. Bring documents for special diseases, outpatient treatment recommendations for special diseases, cooperative medical certificate, medical records, relevant laboratory reports, and two photos.

Legal basis: "Regulations of the People's Republic of China on Basic Medical Insurance for Urban Employees"

Article 28 Personal accounts are used to pay for medical treatment beyond the scope of the overall fund payment Fees; if the personal account is insufficient to pay, it is the responsibility of the person.

Article 29: Medical expenses for hospitalization for serious diseases shall be paid according to the following methods:

(1) The minimum payment standard is in principle controlled for employees in cities, counties, and autonomous counties. The annual social average salary is 9%-11%.

(2) In principle, the maximum payment limit is controlled at 3-5 times the average social salary of employees in cities, counties, and autonomous counties in the previous year.

(3) Medical expenses above the minimum payment standard and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion. Appropriate care will be given to the proportion of retirees paying medical expenses.

The scope of serious diseases, specific standards for deductibles and maximum payment limits, and the sharing ratio of medical expenses above the deductible standard and below the maximum payment limit shall be determined by the Provincial People's Government.

Article 30 The overall fund will not pay for medical expenses below the minimum payment standard and above the maximum payment limit.