After the students are cured, they should submit the following certificates and materials to the financial department of the school, fill out the claim application form and entrust them to apply for insurance benefits:

1. Original medical expense certificate issued by the hospital recognized by the insurance company (special unified certificate for hospital charges);

2. The diagnosis certificate issued by the hospital recognized by the insurance company (outpatient medical record or discharge summary);

3. A copy of my student.

After the insurance company closes the case, it will transfer the compensation to the school account, and the financial planning office will send a notice in the bulletin board next to the school mailroom. After seeing the notice, students should bring their ID cards (student ID cards) to the financial planning office in time to collect insurance money.

During hospitalization, if it is difficult to advance hospitalization expenses, the counselor or class teacher can borrow medical expenses from the school in advance for the students. The amount is determined by the school hospital according to the patient's condition and signed on the application form, and then transferred to the financial department.

The outpatient and inpatient treatment of students should be carried out in the school hospital. If the illness needs to be transferred to an off-campus hospital for treatment, a referral form issued by the school hospital should be obtained. Otherwise, students can only apply for insurance money from insurance companies, and cannot enjoy medical reimbursement at public expense. When the school medical expenses are reimbursed at public expense, the outpatient medical expenses are reimbursed by the school hospital once every academic year, and a fixed contract system is implemented. The medical expenses of the hospital shall be reimbursed and paid according to the regulations after the balance of insurance company claims is filled in, and the referral form of the school hospital shall be approved and signed by the dean of the school hospital.

Scope of reimbursement for student medical insurance card

1. Take the medical insurance card and medical records with you when you go to the school hospital. For the first time, I didn't apply for medical records, but went to the infirmary (provided my 1 inch photo and medical insurance card).

2. If you need to go to an off-campus hospital, you must first sign a referral opinion from the attending physician of the school hospital before you can go to a designated hospital. Those who recommend themselves without approval will not be reimbursed for all expenses.

3. Materials to be prepared for reimbursement:

Medical record book, referral record of attending doctor in school hospital, medical insurance card, medical record of referral hospital, expense list, auxiliary examination results (original and photocopy provided above), and original invoice.

4. The college only reimburses the general outpatient expenses that meet the requirements and participate in medical insurance in our school.

Reimbursement is proportional, with ups and downs. The part exceeding the price limit shall be reimbursed according to a certain proportion after deducting various self-funded items. There is also a capping line, and the annual reimbursement amount does not exceed this capping line. Now students are running cooperative medical care for residents, and generally about 30% of them are reimbursed. When you show your medical insurance card to the hospital and register, you can usually reimburse it when you leave the hospital. If you use less self-funded drugs, the reimbursement ratio can be higher accordingly.

How to use the student medical insurance card?

1. Before hospitalization or after discharge, use the medical insurance card to swipe the card directly at the hospital payment office. The system will directly settle the self-payment ratio and print the list.

2. Application scope of student medical insurance card: tertiary hospitals, secondary hospitals, primary hospitals and community health service centers.

3. What diseases are covered by the medical insurance card: special diseases in hospitalization and specialist outpatient service.

4, where the transfer of medical treatment, medical treatment in different places of insured patients to apply for reimbursement of hospitalization medical expenses, need to provide the following materials:

①IC card (medical insurance card);

② Invoice of hospitalization medical expenses;

③ Disease diagnosis certificate (stamped with special seal for disease certificate);

(4) Summary table of detailed classification of hospitalization medical expenses (stamped with special seal for charges);

(5) copy of long-term doctor's advice (stamped with special seal for medical record room);

6. Copy of short-term doctor's advice (with special seal for medical record room);

⑦ Discharge summary (stamped with special seal for medical record room);

(8) Reimbursement of the agent's ID card;

Pet-name ruby xx province basic medical insurance for medical treatment in different places insured hospitalization inspection list.

Or issue a disease certificate and a school certificate in the hospital after hospitalization, bring the medical insurance card and the above two certificates to the medical insurance center, open a unified medical card in the province, and then swipe the card directly to the affiliated hospital for treatment.

legal ground

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

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