Detailed steps of medical insurance reimbursement process

The detailed steps of the medical insurance reimbursement process are as follows:

1, medical insurance users should prepare materials for hospitalization and medical insurance reimbursement: before the individual leaves the hospital, the attending physician will issue relevant diagnosis documents and medical records;

2. Check out: the invoice list of hospitalization must be kept well;

3. Take these content materials to be reimbursed to the medical insurance reimbursement institution where the user is located for reimbursement;

4. The medical insurance institution will review the information submitted by the user and remit the reimbursement amount to the user's account after confirmation.

Medical insurance reimbursement conditions:

1, the insured must meet the requirements of the national medical insurance, that is, pay the corresponding medical insurance fees under the national medical insurance system;

2, medical expenses must comply with the provisions of the national medical insurance medical service directory, including drugs, treatment items, inspection items, surgical items, etc. ;

3. Medical expenses must be consumed in medical institutions designated by medical insurance, that is to say, the insured can only enjoy medical insurance reimbursement services in medical institutions designated by medical insurance;

4. Medical expenses must be submitted for medical insurance reimbursement within the specified time. It is generally required to submit an application within a certain period of time after seeing a doctor;

5. The balance of the insured person's personal account must be sufficient, otherwise the medical insurance reimbursement service cannot be enjoyed.

To sum up, the process of reissuing medical insurance cards in different regions and different types of medical insurance may be different, and the specific process needs to be determined according to local actual conditions and policies.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

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 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.