How to reimburse hospital medical insurance

I. Medical reimbursement process: 1. First of all, if you want to use medical insurance for reimbursement, you must register with your own medical insurance card when you register, and the cardholder of the medical insurance card must be yourself. Then you can go to the doctor's office with the doctor's registration form, and the doctor will prescribe medicine, so that the patient can pay with the doctor's prescription. 3. Go to the payment window of the hospital, wait for the staff to settle the corresponding expenses, and then give the social security card to the staff, who will use the social security card to help you reimburse the medical expenses. Many drugs are within the scope of national reimbursement, but the disadvantages are not within the scope of medical insurance reimbursement, and they must be paid at their own expense. 2. Information required for reimbursement: 1. Outpatient reimbursement materials: outpatient invoice, cooperative medical certificate calendar (or medical record). 2. Hospitalization reimbursement materials: hospitalization invoice, cooperative medical certificate (or medical record) calendar, detailed list of expenses, discharge summary and other relevant certificates. 3, outpatient special disease reimbursement information: outpatient invoices, special disease cooperative medical certificate calendar. 4. Information for handling special diseases: outpatient treatment proposal for special diseases, calendar of cooperative medical certificate, medical records, relevant laboratory reports and photos.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund according to state regulations.

"People's Republic of China (PRC) Social Insurance Law" Article 29 The medical expenses of the insured shall be paid by the basic medical insurance fund, and the sweet potato shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.