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Is medical insurance reimbursement automatically settled upon discharge?
Medical insurance reimbursement is automatically settled upon discharge.
Automatic settlement of medical insurance reimbursement means that when the patient is discharged from the hospital, the hospital will automatically calculate the medical expenses that the patient should reimburse based on the type of medical insurance and reimbursement policy that the patient has participated in, and directly settle the medical expenses. Patients only need to pay the expenses they should bear, and do not need to go to the medical insurance department separately for reimbursement application and settlement.
The medical insurance reimbursement method is as follows:
1. Before seeking medical treatment: Before seeking medical treatment, you need to confirm the type and scope of your medical insurance, and choose a medical institution and doctor that complies with the medical insurance policy;
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2. During the medical treatment process: During the medical treatment process, you need to accurately fill in your basic personal information and medical treatment conditions, and provide your own medical insurance card and related certification materials to the doctor and medical institution;
3 . Reimbursement application: After receiving medical treatment, you need to submit a medical expense reimbursement application to the local social insurance management center or medical insurance office, and provide relevant medical expense bills and supporting materials;
4. Reimbursement review: The medical insurance institution reviews the application for medical expense reimbursement, and checks the cost and condition information to determine the reimbursement ratio and amount;
5. Reimbursement payment: After passing the review, the medical insurance institution will pay the reimbursement amount to the applicant bank account or medical insurance card.
To sum up, medical insurance reimbursement is generally settled automatically after discharge, which provides convenience to patients. However, patients still need to pay attention to reimbursement matters, ensure the accuracy and completeness of relevant materials, and communicate with the hospital or medical insurance department in a timely manner if they encounter problems.
Legal basis:
"Social Insurance Law of the People's Republic of China"
Article 23
Employees shall participate in For basic medical insurance for employees, the employer and employees shall jointly pay the basic medical insurance premiums in accordance with national regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other people with flexible employment can participate in the basic medical insurance for employees, and individuals must pay the basic medical insurance premiums in accordance with national regulations.
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