1, the insured person goes to the personnel department of the unit or the medical insurance window to consult relevant policies and handling procedures;
2. Prepare personal ID cards, social security cards and other related documents;
3, fill in the application form for mutual assistance, and submit relevant documents and materials;
4, the unit audit application form and related documents, and signed a mutual assistance agreement;
5. After signing the mutual assistance agreement, the insured can enjoy mutual medical services in the hospital.
Reimbursement scope of medical insurance:
1. Medical service expenses: including outpatient expenses, hospitalization expenses, operation expenses, etc.
2. Drug expenses: covering the drug expenses in the medical insurance catalogue;
3. Expenses of medical AIDS: such as artificial limbs and orthoses within the scope of medical insurance;
4. Special treatment costs: Medical insurance in some areas may cover rehabilitation treatment and Chinese medicine treatment;
5. Vaccination expenses: Medical insurance in some areas may include necessary vaccination expenses.
6. First aid expenses: including ambulance expenses and first aid treatment expenses in case of emergency.
To sum up, the process of mutual medical insurance in Beijing includes consulting policies, preparing documents, filling in application forms, unit auditing, and signing agreements. After completion, the insured can enjoy the corresponding mutual medical services.
Legal basis:
People's Republic of China (PRC) social insurance law
second
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 receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and 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.
Article 7
The administrative department of social insurance in the State Council is responsible for the national social insurance management, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties. The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.
Article 88
Whoever defrauds social insurance benefits by fraud, forgery of certification materials or other means shall be ordered by the social insurance administrative department to return the defrauded social insurance benefits, and a fine of not less than two times but not more than five times the amount defrauded shall be imposed.