Reimbursement method for residents' medical insurance:
1. On-site online settlement: At present, most hospitals can conduct on-site online settlement. Inpatients only need to bring their ID cards and medical insurance cards to the inpatient department to go through the relevant procedures, and they can settle accounts directly when they leave the hospital. Patients only need to pay and reimburse the remaining hospitalization expenses.
2. Online settlement in different places: For hospitals that cannot settle online on site, patients need to bring: hospitalization invoices when they leave the hospital; Details of hospitalization expenses; Diagnostic certificate; Discharge summary; Medical records; Some areas need information confirmation sheets or referral sheets. After discharge, bring the above information to the insured place for reimbursement.
Medical insurance processing flow:
1. When registering in hospital: you need to show your medical insurance card and ID card. The hospital will check the personal data and payment of the insured person in the medical insurance information system and handle the admission procedures for them;
2. During hospitalization: Please remind doctors that the use of self-funded drugs, diagnosis and treatment items and medical service facilities must be signed and agreed by patients or their families;
3. Discharge: If the hospitalization meets the discharge standard, the attending doctor will issue a discharge notice, and the insured will go to the discharge office with the discharge notice and medical insurance card for settlement. It usually takes no more than 7 days to get medicine from the hospital. At the time of discharge settlement, the insured or their families should sign the "medical insurance expense statement" for confirmation.
The medical insurance reimbursement process is as follows:
1, original of my ID card or social security card;
2. Original disease diagnosis certificate issued by tertiary or secondary hospitals of designated medical institutions;
3, outpatient medical records, inspection, test results report and other original medical information;
4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;
5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;
6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;
7. If acting as an agent, provide the original ID card of the agent.
legal ground
People's Republic of China (PRC) social insurance law
Article 2 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 in case of old age, illness, industrial injury, unemployment and maternity.