How to go to the medical insurance center without reimbursement
if you have been discharged, you need to submit the social security card, ID card, medical record, all invoices of hospitalization and operation expenses to the social security center. After leaving the hospital, it will be handed over to the social security department for 45 working days.
1. The part of medical expenses that should be borne by the indivial should be settled with the hospital by the indivial; Should be the burden of medical insurance fund, indivials do not need to take money, by the agency and the hospital settlement
2. In the non insured medical insurance hospitals in this city, the part of medical expenses that should be borne by the indivial should be settled with the hospital by the indivial; Should be the burden of medical insurance fund, indivials do not need to take money, by the hospital accounting. The medical expenses recorded shall be settled by the local agencies and the municipal agencies
3. If the inpatient medical expenses of medical insurance hospitals can be settled in different places within and outside the province, the part that should be borne by the indivial should be settled by the indivial with the hospital; For the part that should be borne by the medical insurance fund, the indivial does not need to take money, and the medical hospital keeps accounts. For the part of hospital accounting, the local agency is responsible for the settlement with the hospital, and the provincial agency is responsible for the settlement
(4) the medical expenses of a hospital can not be settled directly outside the city, but should be paid in full by the indivial. Within six months after the end of diagnosis and treatment, the urban residents should apply for reimbursement through the labor and social security work station and school in the community, and the county (City) residents should apply for reimbursement by the indivial with the relevant information to the local agency. The agency shall check and approve the reimbursement of medical expenses according to the regulations and allocate them to the insured5. The year of hospitalization is determined according to the date of discharge settlement
6. College and secondary school students who stay in non insured places ring school suspension, winter and summer vacation, legal holiday and teaching practice should go to the medical insurance hospital where their family or internship unit is located and report to their school within 7 working days. Within six months after the end of diagnosis and treatment, with the relevant materials, apply for reimbursement through the school to the insurance agency. The agency shall check and approve the reimbursement of medical expenses according to the regulations and allocate them to the insured
7. When the residents are discharged from hospital, the hospital should ask them or their relatives to verify the details of hospitalization expenses and sign. Otherwise, the medical insurance fund will not be paid. In case of any dispute, it shall be reported to the agency at the same level for handling
extended data
discharge process:
first of all, when handling hospitalization proceres: Patients with medical insurance should show their ID card and medical insurance certificate, then go through hospitalization proceres and register for hospitalization. Only in this way can we ensure that part of the expenses in the hospital are included in the scope of medical insurance reimbursement
then, if you want to leave the hospital, you need the attending doctor to issue a diagnosis certificate and go to the outpatient charge office to seal it; Hospitalization notice, hospitalization deposit receipt; ID card, medical insurance card
take the above proceres and materials, and go to the window for hospitalization proceres to handle discharge and reimbursement. After processing, the staff will give you a discharge notice, including details of various expenses, reimbursement scope, reimbursement amount, etc
The medical insurance center without record cannot accept it
according to Article 2 of the notice on further standardizing the handling of medical insurance business (Chao Mei Bao [2016] No. 22), if the insured must be transferred to other places for medical treatment, the transfer proceres shall be issued by the medical institutions with the right to transfer to other places and registered by the medical insurance agencies at the same level, otherwise the expenses shall not be written off. Therefore, the medical insurance center can't accept the transfer expenses of patients
extended data:
if you are hospitalized in a designated medical insurance hospital in another place without registration, if you have not completed the filing proceres before settlement, when you return to the original insured place for reimbursement of medical expenses, the hospitalization "threshold fee" will increase by 5%, and the reimbursement proportion will decrease by 5%
if you need to be hospitalized temporarily in case of sudden illness in other places, please register with the Social Security Bureau of the insured place in time by telephone and other forms after hospitalization, and improve the relevant proceres, and complete the record at the latest before discharge
in addition, it should be reminded that after the registration proceres for medical treatment in other places are completed, the registrant will not be able to enjoy the medical insurance treatment by swiping the medical insurance card in Chongqing until he applies to the Social Security Bureau of the insured place to cancel the registration. Therefore, only when there is a real need for medical treatment in other places can the medical treatment in other places be put on record
