1, telephone inquiry. The insured can directly call the national social security hotline 12333 and provide the ID number or medical insurance card number to obtain medical insurance related information.
2. official website, Social Security Bureau. Insured people can log in to the local social security bureau in official website, register their accounts, and fill in their social security computer numbers and ID numbers, so as to obtain medical insurance-related information.
3. Mobile phone inquiry. The insured can bind the social security account through the mobile phone WeChat or other social security bureau service accounts, and then get the medical insurance related information.
The process of medical insurance reimbursement:
1, medical treatment: go to a hospital or clinic for medical treatment or treatment;
2. Payment: Pay the medical expenses that should be paid in the hospital or clinic;
3. Obtain a list of expenses: during the medical treatment, the hospital or clinic will provide a list of expenses, which lists the specific medical items and amount;
4. Fill in the reimbursement application form: hold the expense list and fill in the medical insurance reimbursement application form. You need to provide your own basic information, medical expenses list, medical insurance certificate and other related materials when filling in;
5. Submit materials: submit the completed reimbursement application form and related materials to the medical insurance agency, which can be submitted online or offline;
6. Audit: The medical insurance agency shall audit the submitted application forms and materials. After the approval, the medical insurance agency will transfer the reimbursement funds into the personal bank account or give cash reimbursement.
To sum up, different regions and different medical insurance systems may have different participation conditions, payment standards and reimbursement scope. When participating in medical insurance, residents need to understand local laws and policies and consult the staff of local social insurance agencies.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.