2. Medical treatment in different places: First, you need to file in different places, and go to the county-level social security center where the medical insurance is located for the record. The medical insurance for employees is based on the workplace, with ID card and social security card, filling in the registration form of medical treatment in different places, and then choosing the designated hospital for reimbursement. If it is outpatient expenses, some areas need to pay in advance and then go back to the insured place for reimbursement. The proportion and scope of reimbursement in different regions are also slightly different.
First, college students' medical insurance reimbursement process is
1. Hospitalization medical expenses shall be paid by individuals in advance. After discharge, medical insurance card for urban college students, sfz, outpatient medical records, discharge summary, general list of expenses (detailed list of expenses), disease diagnosis certificate, valid bill (original invoice), doctor's advice, copy of the first page of medical records, certificate issued by the school, transfer certificate and relevant certificate issued by the college shall be provided. For medical treatment in different places, you should provide the materials of different hospitals (same as above); In the same hospital, according to the different hospitalization time (before the expenses are written off, such as being treated in the same hospital after discharge), materials of hospitalization in different periods should also be provided (ibid.);
2. Open the credit card settlement function: within three days of hospitalization, the student or student guardian or client will go to the medical department window of the service hall of the municipal medical insurance center with the student ID card, provincial social security card, hospitalization medical record, disease diagnosis certificate and certificate issued by the college;
3. Treatment of emergency expenses of non-designated medical institutions: within 3-5 working days of emergency, first contact or entrust others to register with the municipal medical insurance management center through the student medical insurance management center of our hospital, and the medical expenses will be paid in advance by myself. At the time of reimbursement, apply for reimbursement to the municipal medical insurance center according to the above reimbursement materials. (if you go to a non-medical insurance designated hospital or clinic for treatment, you will not be reimbursed. )
Legal basis:
People's Republic of China (PRC) social insurance law
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Seventy-fourth social insurance agencies through business handling, statistics, investigation and other means to obtain the data needed for social insurance work, the relevant units and individuals should provide timely and truthful.
The social insurance agency shall establish a file for the employer in a timely manner, completely and accurately record the social insurance data such as personnel's participation in social insurance and payment, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement.
The social insurance agency shall timely, completely and accurately record the individual's personal rights and interests such as social insurance payment, employer's payment and social insurance benefits, and regularly send the personal rights and interests records to me free of charge.
Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.