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Can Zhumadian employee medical insurance card be used in Zhengyang County?

You can use it.

If the insured person goes to a different place for medical treatment, he/she needs to go through the basic medical insurance referral filing or permanent (resident) filing procedures in advance, and he/she can only be reimbursed in a different place after seeing a doctor in a designated social security hospital at level 2 or above.

You can't go to the hospital directly after filing, you can only go to the designated hospital that has been connected to the internet.