(A) reimbursement methods for residents' medical insurance in local designated hospitals

1, the patient shall go through the medical insurance registration formalities at the medical insurance office of the designated hospital within three days after admission with the Admission Notice and the Medical Insurance Certificate. During hospitalization, the Medical Insurance Certificate shall be kept by the Hospital Medical Insurance Office and returned to me at the time of discharge settlement.

If you don't go through the registration formalities for more than three days, the hospitalization expenses will be borne by yourself.

2. When leaving the hospital, you should first go to the hospital medical insurance office to go through the medical insurance discharge settlement procedures.

3. If the insured residents pay the medical insurance premium in full and on time, the medical expenses paid by the medical insurance pooling fund when the patient leaves the hospital will be directly reimbursed by the hospital.

(B) Referral referral reimbursement method

1, residents really need to be transferred to the hospital outside the city, and they need to be referred to the Central People's Hospital of our city or the Chinese Medicine Hospital. After the director of the department signs and agrees, they can be transferred to the municipal medical insurance agency for hospitalization. If they are transferred to the hospital outside the city without approval, the medical expenses will be borne by themselves.

2, the transfer of medical expenses by the medical insurance agencies to accept reimbursement, need to provide the following materials:

(1) Transfer Approval Form;

(2) A complete copy of hospital medical records (seal);

(3) Original invoice (seal);

(4) Summary list (seal);

(5) medical insurance certificate.

(3) reimbursement methods for resettlement in different places

1. Handling of registration and filing procedures: medical insurance participants who have lived in other places for more than one year can go to the Medical Management Department to receive the Medical Insurance Registration Form for People Living in Different Places (in triplicate), and send it to people living in different places. The insured will choose three public hospitals where they live as designated hospitals (Grade I, II and III respectively), and the contents will be filled in completely, confirmed by the Medical Insurance Department and submitted to the Medical Management Department for review. You also need to provide a copy of the off-site real estate license or proof of residence.

2. Reimbursement method: The medical expenses of people resettled in different places shall be reimbursed by the Medical Insurance Department, and the required materials for reimbursement include:

(1) A complete copy of hospital medical records (seal);

(2) Original invoice (seal);

(3) Summary list (seal);

(4) Medical insurance handbook;

(5) my identity card. Every year 1 1 month-February, the hospitalization expenses in different places of this year will be accepted, and centralized reimbursement will be made at the beginning of the next year. Cross-year hospitalization expenses will not be accepted.

(4) reimbursement methods for business trips and family visits

1. If the insured person is hospitalized for emergency treatment in a designated foreign medical insurance hospital for business trip or visiting relatives, he/she or his/her family should inform Tengzhou Medical Insurance Office for filing within three working days after hospitalization. The cost of not registering for the record is at your own expense.

2. When handling reimbursement, I must bring the following information to the medical insurance office.

(1) certificate of the insured unit (village, neighborhood Committee);

(2) the residence certificate of the place of business trip or visiting relatives;

(3) Medical bills for this hospitalization;

(4) The emergency diagnosis certificate of this hospitalization (with the official seal of the hospital);

(5) A copy of the hospitalization medical record includes the hospitalization home page, hospitalization records, discharge summary, long-term and temporary medical orders;

(6) Detailed summary of hospitalization expenses (all the above materials must be stamped with the seal of the hospital);

(7) A copy of the patient's medical insurance certificate and ID card.

(E) reimbursement methods for community outpatient medical expenses

Insured residents to "residents' medical insurance card" to the designated community station (center) outpatient medical treatment, outpatient medical expenses, by the medical community service station (center) for immediate settlement reimbursement procedures.

Extended reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.