Medical insurance reimbursement has not been received for 3 months.

Medical insurance reimbursement has not been paid for 3 months, and the social insurance administrative department shall order it to make corrections; If losses are caused to social insurance funds, employers or individuals, they shall be liable for compensation according to law; The directly responsible person in charge and other directly responsible personnel shall be punished according to law.

I. Information required for reimbursement:

1. Outpatient reimbursement information: 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. Special disease outpatient reimbursement: invoices and calendars for special disease cooperative medical certificate outpatient service.

4. Information for handling special diseases: outpatient treatment proposal for special diseases, calendar of cooperative medical certificate, medical records, relevant laboratory reports and photos.

Second, the reimbursement process:

1. The insured households prepare the required materials for reimbursement and submit them to the village (community) cooperative medical liaison, which will report them to the town cooperative medical liaison after review, and the town cooperative medical liaison will send them to the district agricultural medical office for reimbursement. Guide to reimbursement of new rural cooperative medical care.

2. Direct reimbursement by the hospital: When going through hospitalization procedures due to illness, you will issue a certificate of the new rural cooperative medical system to the hospital and directly participate in reimbursement.

Three. I have not received medical insurance reimbursement for three months as follows:

1. The staff of the medical insurance institution made mistakes, resulting in the system being unable to transfer money to the account through correct operation. In this case, you can consult the staff of the medical insurance bureau or the personnel of the company first.

2. Missing or insufficient reimbursement materials. If this happens, directly supplement the relevant materials in the background, and then upload the reimbursement again.

3. The insured does not meet the reimbursement conditions. Many medical insurance reimbursements have deductibles or deductible lines. Can not meet the reimbursement standards, the expenses themselves.

Legal basis:

Article 89 of the Social Insurance Law of People's Republic of China (PRC): If the social insurance agency and its staff commit any of the following acts, the social insurance administrative department shall order them to make corrections; If losses are caused to social insurance funds, employers or individuals, they shall be liable for compensation according to law; The directly responsible person in charge and other directly responsible personnel shall be punished according to law:

(1) Failing to perform the statutory duties of social insurance;

(2) Failing to deposit the social insurance fund into the special financial account;

(3) Deducting or refusing to pay social insurance benefits on time;

(four) lost or tampered with the payment records, enjoy social insurance benefits records and other social insurance data, personal rights records;

(five) other acts in violation of social insurance laws and regulations.

In short, if the medical insurance reimbursement has not been paid for 3 months, the social insurance administrative department shall order it to make corrections; If losses are caused to social insurance funds, employers or individuals, they shall be liable for compensation according to law; The directly responsible person in charge and other directly responsible personnel shall be punished according to law.