1, basic medical insurance. Shantou residents participate in the basic medical insurance and can generally enjoy a certain proportion of medical expenses reimbursement. The specific reimbursement ratio may vary according to different projects and medical services, such as drugs, examinations, surgery, etc. Generally speaking, basic medical insurance can cover a part of medical expenses, but it will not be fully reimbursed.
2. critical illness insurance. Shantou residents can enjoy a higher proportion of reimbursement when they participate in serious illness insurance. Critical illness insurance usually provides more protection for high medical expenses, and the reimbursement ratio may be higher, but the specific ratio may vary according to different policies and regulations.
Information required for medical insurance reimbursement:
1. Everyone needs to bring their own valid ID card and social security card software;
2, the original certificate of disease diagnosis issued by the designated medical institutions;
3, outpatient medical records, inspection, test results report and other related medical information;
4, the original unified fee invoice of the tax department of medical institutions;
5, the original prescription issued by the hospital doctor and the computer printed list of outpatient expenses;
6. If the tax goods are purchased in a designated pharmacy, a unified sales invoice and an original list printed by computer need to be prepared;
7. If it is entrusted to others, the trustee shall also prepare the original valid ID card.
Medical insurance reimbursement process:
1. The agent needs to bring relevant materials, including the original ID card, the original medical card, the hospitalization certificate of the hospital, the discharge certificate, the charging documents during hospitalization, the corresponding medical records, inspection reports and other related materials, and apply for reimbursement at the social security agency;
2. After accepting the application, the regulatory authorities will review the application materials received, and after the approval, the settlement and payment will be completed on the same day;
3. The social security agency has passed the examination, and the applicant can receive the reimbursement expenses with relevant documents. Under normal circumstances, under the condition of complete information, all the reimbursement work can be completed on the same day, without having to run a few more times.
To sum up, the specific reimbursement ratio and policies may change according to local medical insurance policies. It is suggested that you contact the social security bureau or medical insurance department in Shantou to consult their specific policies and reimbursement ratio in order to obtain accurate and up-to-date information. They will be able to provide more specific and detailed answers.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.