2. The reimbursement of hospitalization and outpatient medical expenses for serious diseases occurred in other provinces and cities should be submitted to the medical insurance institution for reimbursement within 6 months after discharge with the student ID card and a copy of the student ID card, the original receipt of medical expenses, the discharge summary (the outpatient medical record of serious diseases), detailed bills and related materials.
As long as you issue a referral form according to the requirements of the school and then go to see a doctor, the expenses incurred can be reimbursed within the prescribed proportion.
It can be reimbursed directly in the hospital. The reimbursement standards for college students' medical insurance are as follows:
(a) in accordance with the provisions of the outpatient medical expenses, according to the following proportion of reimbursement, the rest of the individual pays:
1, if the medical expenses are insufficient 1000 yuan, 35% will be reimbursed.
2, medical expenses in 1000 yuan (including 1000 yuan) above, less than 5000 yuan, 45% reimbursement;
3, medical expenses in more than 5000 yuan (including 5000 yuan), less than 10000 yuan, 55% reimbursement;
4, medical expenses in 1 ten thousand yuan (including 1 ten thousand yuan) above, reimbursement of 65%.
(two) in accordance with the provisions of the medical expenses incurred in hospitalization, according to the following proportion to be reimbursed, the rest of the individual pays, and the medical expenses of multiple hospitalizations during the year are calculated:
1, medical expenses 10000 yuan, medical treatment in tertiary, secondary and primary medical institutions, with reimbursement rates of 55%, 65% and 75% respectively;
2. The medical expenses are above 10000 yuan (including 10000 yuan) and within 20000 yuan, and the reimbursement rates in tertiary, secondary and primary medical institutions are 60%, 70% and 80% respectively.
3, medical expenses in more than 20000 yuan (including 20000 yuan), in the tertiary, secondary and primary medical institutions, the reimbursement rate is 65%, 75% and 85% respectively.
Legal basis:
People's Republic of China (PRC) Social Security Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, work-related injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in the event of old age, illness, work-related injury, unemployment and childbirth.