2. Submit the list of the insured with official seal;
3. It will take effect after payment, with one year as a cycle;
4. Submit materials for reimbursement, such as employee ID card, expense invoice, disease certificate, discharge summary, expense summary, long-term and short-term doctor's advice, etc. Those who have participated in the new rural cooperative medical system must also provide the hospitalization expenses statement of the participants. The above does not require originals, only copies;
Expenses less than 5.3000 yuan can be paid on the spot, and those more than 3,000 yuan can be paid within one week after being approved by the regional trade union.
Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks.
The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation. The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get the necessary material help from society, reduce the burden of medical expenses, and prevent sick social members from becoming poor due to illness.
Medical insurance, like other types of insurance, collects medical insurance premiums from people threatened by diseases in advance in the form of contracts and establishes medical insurance funds. When the insured goes to a medical institution for medical treatment, the medical insurance institution will give him some economic compensation. Therefore, medical insurance also has two major functions of insurance, risk transfer and compensation transfer. That is, the economic losses caused by individual disease risks are distributed to all members threatened by the same risks, and the economic losses caused by diseases are compensated by centralized medical insurance funds.
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.