1, hardware facilities support medical insurance credit card. For example, pharmacies must install card readers, POS machines and other credit card devices, or it is convenient to use medical insurance cards to pay by credit card after transformation;
2, pharmacies must have the "drug business license" and "medical device business license" and other certificates, and in accordance with the relevant provisions of the state for medical insurance designated unit agreement signing procedures;
3, pharmacies must join the medical insurance designated pharmacy network, and abide by the national, provincial and municipal medical insurance policies and regulations;
4, pharmacies and their employees should understand the medical insurance policy, and participate in the training of medical insurance designated pharmacies to ensure the correct operation and use of the medical insurance system;
5, pharmacies must be in accordance with the requirements of national, provincial and municipal medical insurance departments, establish and improve the medical insurance management rules and regulations and internal operating procedures, to ensure the safety and standardization of medical insurance credit card service.
The process of medical insurance reimbursement:
1, medical treatment: go to a hospital or clinic for medical treatment or treatment;
2. Payment: Pay the medical expenses that should be paid in the hospital or clinic;
3. Obtain a list of expenses: during the medical treatment, the hospital or clinic will provide a list of expenses, which lists the specific medical items and amount;
4. Fill in the reimbursement application form: hold the expense list and fill in the medical insurance reimbursement application form. You need to provide your own basic information, medical expenses list, medical insurance certificate and other related materials when filling in;
5. Submit materials: submit the completed reimbursement application form and related materials to the medical insurance agency, which can be submitted online or offline;
6. Audit: The medical insurance agency shall audit the submitted application forms and materials. After the approval, the medical insurance agency will transfer the reimbursement to the personal bank account or give cash reimbursement.
To sum up, different regions and different medical insurance systems may have different participation conditions, payment standards and reimbursement scope. When participating in medical insurance, residents need to understand local laws and policies and consult the staff of local social insurance agencies.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
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.
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.