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Shanghai Medical Insurance Manual Reimbursement Process

Steps to prepare reimbursement materials, fill in the reimbursement application form, submit reimbursement materials, wait for review and receive reimbursement money

1. Prepare reimbursement materials

First of all, you need to Prepare complete materials related to medical expenses. This includes medical expense invoices, diagnosis certificates, medication lists, medical records, etc. Ensure the authenticity and completeness of these materials for smooth reimbursement.

2. Fill in the reimbursement application form

Next, you need to fill in the Shanghai Medical Insurance Manual Reimbursement Application Form as required. When filling in, you should carefully check personal information, medical expense details, etc. to ensure the accuracy of the information. At the same time, the corresponding reimbursement items and proportions are selected according to the medical insurance policies.

3. Submit reimbursement materials

After preparing the reimbursement materials and filled-in application form, you need to submit them to the medical insurance handling department of your unit or go directly to the medical insurance service center. submit. When submitting, you should carefully check whether the materials are complete to avoid reimbursement failure due to missing materials.

4. Waiting for review and receiving reimbursement

After submitting the reimbursement materials, you need to wait for review by the medical insurance department. After approval, the reimbursement will be directly deposited into the personal bank account or distributed through other methods. When receiving reimbursement, you should check whether the amount is correct and keep relevant vouchers properly.

In summary:

The manual reimbursement process of Shanghai Medical Insurance includes steps such as preparing reimbursement materials, filling out reimbursement application forms, submitting reimbursement materials, waiting for review and receiving reimbursement payments. During the reimbursement process, it is necessary to ensure the authenticity and completeness of the materials, and carefully check personal information and reimbursement details. At the same time, pay attention to changes in medical insurance policies in order to understand and enjoy relevant benefits in a timely manner.

Legal basis:

"Social Insurance Law of the People's Republic of China"

Article 28:

Compliance The basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance fund in accordance with national regulations.

"Shanghai Basic Medical Insurance Measures for Employees"

Article 14 stipulates:

Insured persons who are insured in designated medical institutions in this city are in compliance with these Measures If the prescribed medical expenses for hospitalization, emergency observation room stay, outpatient serious illness and home hospital bed medical expenses fall within the payment scope of the personal medical account, the designated medical institution will deduct them from the personal medical account; if they do not fall within the payment scope of the personal medical account, they will be deducted from the personal medical account. Payment shall be made in the form of account vouchers and shall be paid from the basic medical insurance pooling fund or supplementary fund.