You can consult the local medical insurance department for details, and the policies vary from place to place.
The conditions for reimbursement are as follows:
(a) to seek medical treatment in a medical institution designated by the cooperative medical system;
(2) Original invoice
(three) medical insurance card and my ID card
Other considerations:
(1) Reimbursement scope: general outpatient and emergency expenses incurred by the insured in designated hospitals or specialized hospitals of medical insurance, hospitals of traditional Chinese medicine and tertiary hospitals selected by individuals.
(2) Reimbursement ratio: the total emergency expenses of general outpatient clinics in a natural year exceed 2,000 yuan, 50% of which are paid by some large medical mutual funds with a price of more than 2,000 yuan, and 50% are paid by individuals themselves. The retirees have accumulated more than 1.300 yuan, and the part exceeding 1.300 yuan is covered by the large-scale medical mutual aid fund over 70 years old, with 70% paid by individuals, 30% paid by individuals, 80% paid by the large-scale medical mutual aid fund over 70 years old and 20% paid by individuals. The maximum payment limit in a natural year is 20000 yuan.
(3) Medical management: individual cash payment for general outpatient and emergency expenses, and the medical expenses incurred shall conform to the scope of the three major medical insurance catalogues. When purchasing drugs, special prescriptions should be issued in designated hospitals and stamped with the special seal for medical insurance outsourcing, and then drugs should be purchased in designated pharmacies.
(4) Reimbursement process: If the cumulative Qifubiaozhun exceeds the minimum Qifubiaozhun in a natural year, the insured shall submit the documents to the unit or social security office, which will enter the documents into the enterprise version and declare the electronic information and documents to the medical insurance center. The medical insurance center will complete the examination, settlement and payment within 15 working days.
(5) Application materials: general outpatient and emergency receipts, medical insurance prescriptions (dual-price prescriptions), and details of examination and treatment expenses.
(VI) Date of declaration: every month1-20th, the expenses of the current month will be declared next month, and the expenses of the current year will be declared again before1October 20th, 65438+.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.