员工服务
— Staff services—
医疗费报销
时间: 2020-12-16
<p style="text-indent:21px;"> <strong><span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">一、受理时间</span></strong> </p> <p style="text-indent:21px;"> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">医疗(配置)终结30日内到市工伤保险经办机构办理工伤(亡)保险待遇审核手续。</span> </p> <p style="text-indent:21px;"> <span style="font-size:20px;font-family:arial, helvetica, sans-serif;line-height:150%;"><br /> </span> </p> <p style="text-indent:21px;"> <strong><span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">二、所需资料</span></strong> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">(除发票、费用清单以外所有材料请准备一份复印件)</span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">1、工伤认定书原件及复印件;</span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、医疗费原始发票</span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-size:14px;">3、门诊病历、门诊药品清单、门诊放射、CT诊断报告单、出院小结原件及复印件(</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">若员工已报商保,无法提供这几项原件,需提供复印件加盖商保章并且提供商保结算单</span><span style="font-size:14px;">);&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">4、</span><span style="font-size:14px;">费用清单;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-size:14px;">5、《</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">合肥市工伤医疗(康复)待遇申报表</span><span style="font-size:14px;">》【本页可下载】</span></span><span style="font-size:14px;">加盖单位公章;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">6、</span><span style="font-size:14px;">辅助器具费原始发票及医嘱确认材料;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">7、</span><span style="font-size:14px;">劳动能力鉴定费发票及鉴定结论复印件;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">8、</span><span style="font-size:14px;">民事赔偿法律文书及事故认定书原件及复印件等相关材料;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">(1)若交通事故中肇事者未被抓获,在报销时还需单位提供的“单位承诺书”承诺内容:肇事者未被抓获、先由基金垫付工伤费用,后期如果肇事者抓获将退还垫付费用。</span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">(2)如果对方赔钱,还要申请工伤报销,需要到交警大队开交通事故认定书,下面说明责任情况和赔付情况。对于已经鉴定劳动能力的员工,其伤残补助金等费用也是差额赔付。</span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">9、工伤康复的确认证明;(需要到老社保局办理《康复认定书》)</span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">10、</span><span style="font-size:14px;">协议医疗机构或者协议康复机构按照规定出具的诊断证明、费用单据、费用清单和相关病案资料等。</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><br /> </span> </p> <p style="text-indent:21px;"> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">三、注意事项</span></strong> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">1、</span><span style="font-size:14px;">发票姓名必须与身份证上的一致;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、</span><span style="font-size:14px;">挂号费、发票必须盖章;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">3、</span><span style="font-size:14px;">门诊发票须有当日门诊病历的医嘱;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">4、</span><span style="font-size:14px;">住院发票须有出院小结;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">5、</span><span style="font-size:14px;">门诊药费须有对应的药品明细;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">6、</span><span style="font-size:14px;">摄影、CT、MRI需要提供检查报告单;</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">7、</span><span style="font-size:14px;">一次性费用目录。</span></span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><br /> </span> </p> <p style="text-indent:21px;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><br /> </span> </p> <p style="text-indent:21px;"> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">【涉及的模板如下,请下载使用】</span></strong> </p> <p> <span style="font-size:14px;">&nbsp; &nbsp; &nbsp;&nbsp;</span> </p> <p> <span style="font-size:14px;">&nbsp; &nbsp; &nbsp; &nbsp;</span><a href="/ueditor/php/upload/file/20201216/1608102644747424.doc"><strong><span style="font-size:14px;">合肥市工伤医疗(康复)待遇申报表.doc</span></strong></a> </p> <p> <br /> </p>
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