The reimbursement process of rural medical insurance in Hunan Province is as follows: Prepare reimbursement materials: discharge summary, invoice and list of drugs issued by the hospital; My identity card, medical insurance card, and the certificate of medical treatment in different places issued by the unit. If the enterprise is not insured, it does not need the certificate of medical treatment in different places issued by the unit; Take the above information to the local medical insurance office. The reimbursement for returning to the local area for medical treatment in different places is less than that in the local area 10%, and the absence of transfer certificate issued by the local hospital is 20% less. 88% of the threshold fees are above 3,000 yuan, 90% are above 3,000-5,000 yuan, 92% are above 5,000-1 10,000 yuan, and 95% are above110,000 yuan.

Reimbursement procedures for foreign visits

1. Bring the patient ID card, two one-inch color photos and the new rural cooperative medical certificate to the county joint management office for referral and filing procedures.

2. Bring the patient ID card, the certificate of the new rural cooperative medical system and the referral filing procedures to the referral hospital for medical treatment, and go through the hospitalization procedures of the new rural cooperative medical system.

3, after discharge, with the patient's ID card (or household registration book), the new rural cooperative medical certificate, a copy of medical records, hospitalization statements (some in the form of invoices), hospitalization expenses list, referral filing procedures to the joint management office for reimbursement.

Conditions for reimbursement of medical insurance in different places:

1. The insured who has gone through the registration formalities for medical treatment in different places will pay cash in advance for the medical expenses incurred in the designated medical institutions of medical insurance in different places.

2. The medical expenses incurred by the provincial-level insured who agree to go to designated medical institutions in Beijing and Shanghai for medical treatment after filing shall be paid in cash.

Need to prepare materials to the social security bureau for reimbursement.

When reimbursing, you must bring the following information:

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

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

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

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

6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;

7. If it is an agent, you need to provide the original ID card of the agent.

Bring all the above information to the relevant departments of the local social security center. Upon examination, if the information is complete and meets the requirements, it can be handled immediately. When applying for reimbursement of outpatient medical expenses, the applicant should first deduct the amount allocated to the personal account of medical insurance in this social security year, and then verify the amount to be reimbursed.

Legal basis:

People's Republic of China (PRC) social insurance law

Twenty-ninth insured medical expenses should be paid by the basic medical insurance fund, by the social insurance agencies, medical institutions and pharmaceutical business units directly settled.

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.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.