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Can Xiangtan medical insurance card be used in Changsha?
It is expected that the three places will basically achieve accessibility to medical treatment by the end of the year.
The main content of the "Program" is to achieve zero distance for medical treatment in different places, zero distance for personal accounts, zero distance for collaborative supervision and zero distance for medical insurance services.
How can we call it "zero distance"? The parents of Mr. Zhang, an insured person in Changsha, settled in Xiangtan. Last year, his mother fell ill and was hospitalized in a designated hospital in Xiangtan. At that time, Mr. Zhang had to provide a residence permit to go through the registration procedures in different places, which was more complicated. After the implementation of the plan, the filing procedures will be simplified and medical treatment will be achieved in one step. If Xiangtan Hospital has signed an agreement with Changsha Medical Insurance Bureau, it can be admitted directly without any formalities.
Tan Guo, Party Secretary and Director of Changsha Medical Insurance Bureau, said that to achieve zero distance of medical treatment in different places, the insured people can directly settle accounts in designated medical institutions in the three cities by simplifying the procedures for medical treatment in different places, promoting the whole process of online filing procedures, and promoting mutual recognition of designated qualifications of medical institutions.
Previously, Changsha, Zhuzhou and Xiangtan were responsible for the fixed-point management of hospitals within their respective jurisdictions. After the plan is implemented, designated hospitals in different places will be expanded and mutual recognition of medical insurance qualifications of designated medical institutions in the three places will be opened. After mutual recognition of the qualifications of the three places, as long as it is a designated hospital in Zhuzhou or Xiangtan, it can directly sign a designated medical insurance agreement with Changsha Medical Insurance Bureau, and the hospital does not need to go through the designated access procedures. It is estimated that by the end of this year, it will be easier and more convenient for the insured in Changsha, Zhuzhou and Xiangtan to file files in different places, and the three places will basically realize barrier-free medical treatment in different places.
The medical insurance cards in the three places can be used freely by swiping their cards.
In the past, Changsha's medical insurance card can only be used in Changsha, Xiangtan's can only be used in Xiangtan and Zhuzhou's can only be used in Zhuzhou. In the future, the medical insurance cards of the three places can be freely used in designated pharmacies and hospitals without geographical restrictions.
Zhang _ _ is from Xiangtan. She came to Changsha the year before last to help her daughter take care of the children. She participated in Xiangtan employee medical insurance, and the medical insurance card cannot be used in designated pharmacies in Changsha. In the future, as long as she activates the electronic medical insurance certificate, she can use her credit card to buy medicine at any pharmacy or designated medical institution in Changsha.
According to reports, after the implementation of the plan, the three places will take "Internet plus medical insurance" as the guidance, medical insurance electronic certificate as the medium and provincial settlement platform as the core, innovate the application mode, connect the medical insurance settlement system of designated medical institutions based on the central platform structure of the National Bureau, improve the application environment of medical insurance payment in electronic certificate, and realize the settlement of personal accounts in different places.
Reengineering the service process by "running three cities in parallel and doing it well at one time"
In the future, the three places will also focus on promoting medical insurance services in border areas. For example, Tiaoma Town in Yuhua District is adjacent to Shifeng District of Zhuzhou City and Yuetang District of Xiangtan City. People in the three places have frequent exchanges, and the simple administrative division of medical insurance can't keep up with the exchange needs of local people. In the future, if the insured in Tiaoma Town lives in Yuetang District, they can apply for medical insurance business in Yuetang District without returning to Tiaoma Town. In addition, the designated medical institutions in the border areas recognize each other, and the insured persons in Tiaoma Town can seek medical treatment free of charge in Yuetang District.
The goal of zero-distance medical insurance service will comprehensively promote the reshaping of the government service process of the medical insurance handling window, promote the deep integration of online and offline with data communication, system communication and business communication, and focus on promoting the new model of "unified standards, remote handling and collaborative linkage" in border areas to realize the standardization of medical insurance government services and the "double improvement" of service capabilities in the three cities.
At the same time, the three places will also establish a fund supervision and investigation mechanism, jointly set up a fund supervision team, and carry out coordinated special governance actions such as cross-regional inspection and flight inspection, and the supervision results of the three places will be mutually recognized. For medical treatment in other two cities in different places, the medical insurance department of the medical treatment place can be entrusted to supervise.
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