Can the expenses of the new rural cooperative medical system in Xuzhou, Jiangsu be reimbursed in Shanghai Xinke Naokang Hospital?

How to go through the formalities of medical treatment in different places?

1, inter-provincial medical registration in different places

For medical treatment in different places, you only need to go through this procedure in advance, and you can directly use the social security card to settle the hospitalization in different places without going to two places for reimbursement.

The specific steps are as follows:

A, medical personnel in different places with social security card, ID card to the medical insurance management center for medical registration, approval, filing procedures;

B, after approval and filing, you can choose 1 to three designated medical institutions in different places as designated medical institutions for medical treatment in different places, and the general fixed term is one year.

When the residence of medical personnel in different places changes or their condition changes, and it is necessary to change the designated hospital, they must go to the insured place to go through the filing formalities again.

C, medical personnel in different places to social security card in the selected designated medical institutions for medical treatment, medical expenses incurred according to the insured medical insurance policy directly through online credit card settlement (including outpatient and inpatient co-ordination).

In some areas, real-time online settlement is not possible, and the medical staff in different places pay the fees in full and bring relevant reimbursement vouchers to the medical insurance management center of the insured area for reimbursement.

2. Referral certificate

The principle of "step-by-step diagnosis and treatment, expert review and two-way referral" should be followed for off-site referral, that is, the following conditions must be met:

First, the disease belongs to the critical and difficult diseases that cannot be treated by the designated medical hospitals in this city;

B, the city's three-level designated medical institutions or above the municipal level specialist designated medical institutions, expert consultation has not been diagnosed;

C, the level of diagnosis and treatment of medical institutions is higher than that of cities.

Only when the above three conditions are met can the hospital give you a certificate, and after the certificate is issued, you can register for medical treatment in different provinces at the same time, so that you can successfully reimburse medical treatment in different places.