Medical insurance reimbursement process:

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by a specialist in a tertiary or secondary hospital of a designated medical institution;

3, outpatient medical records, inspection, test results report and other original medical information;

4. The original receipt of outpatient charges of unified financial and tax medical institutions;

5. The detailed list of outpatient expenses printed by the hospital or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: the original unified invoice and printed list of tax commodity sales;

7. If acting as an agent, provide the original ID card of the agent.

Materials to be prepared for reimbursement of medical insurance:

1, copy of hospitalization medical records, which must be stamped with the seal of the hospital;

2, detailed list of expenses, must be stamped with the seal of the hospital;

3, hospitalization bills, need to be stamped with the special seal for medical institutions;

4. Medical insurance card, ID card and bank card.

The process of handling medical reimbursement:

1, medical insurance, whether it is urban workers' medical care or urban residents' medical care, first needs to be hospitalized according to the local designated medical institutions approved by the local medical insurance institutions;

2. If you need to go to other medical institutions for treatment, you need to issue a referral certificate to the local community hospital or community health service center or designated medical institutions;

3. If you are hospitalized in a local medical insurance designated medical institution, the hospital will automatically deduct the medical insurance reimbursement when you check out;

4. If you are treated in a local medical insurance designated place but are not hospitalized, or if you are treated with radiotherapy or chemotherapy, and you are not reimbursed in the hospital, you can bring the relevant information issued by the hospital to the medical insurance window of the local administrative service center for reimbursement. The details are as follows:

(1) official invoice;

(2) medical diagnosis;

(3) detailed list of drugs;

(4) Social security card or medical card.

5. If you have been treated in other medical institutions and have proof of referral, you must wait for reimbursement of all treatment invoices, hospital diagnosis certificate, hospitalization certificate, ID card, social security card, medication list and medical records before1February 3 1 every year.

To sum up, after seeing a doctor in a designated outpatient hospital, you should pay in cash first. After cash payment, bring your ID card, medical card and residence booklet to the local medical insurance management unit for reimbursement. Generally speaking, the reimbursement rate will be different in different regions, depending on local policies.

Legal basis:

Article 29 of the Social Insurance Law of the People's Republic of China

The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.