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Can emergency treatment in different places be reimbursed?
If the insured place and the medical treatment place do not support cross-provincial temporary medical treatment, they can return to the medical insurance handling window of the insured place for manual reimbursement with emergency cases, invoices, expense details, discharge statements and other materials. If the insured place and the medical treatment place support inter-provincial temporary medical treatment filing, online filing can be completed through the "National Medical Insurance Service Platform" APP or the "National Remote Medical Treatment Filing" applet during the medical treatment process, so as to realize direct online reimbursement of medical insurance. It should be noted that medical expenses arising from emergency or rescue, as long as they are generated in designated medical institutions and meet the scope of medical insurance reimbursement, can enjoy medical insurance reimbursement whether locally or in different places. If it is too late to handle the direct settlement of medical treatment in different places, you can choose to take the documents back to the insured place for manual reimbursement. However, it is necessary to prepare emergency proof, drug prescription, expense details and other materials needed for reimbursement. If the bill is lost, as long as the lost bill is reissued according to the relevant policies of the insured place, it can be reimbursed normally. The specific materials and reimbursement process may vary from region to region, so it is recommended to consult the local medical insurance department.
Materials required for emergency reimbursement in different places:
1. Tickets for emergency hospitalization medical expenses, and a detailed list of expenses is summarized.
2, archive medical records cover, discharge records, hospital medical records, doctor's advice, surgical records and other copies of medical documents, and affix the official seal of the hospital.
3, the reason for going out, the incidence, the seal of the community, a copy of the IC card.
4. proof of destination: if you go out to work, the work unit will provide proof; If you go out to visit relatives, the neighborhood Committee where the other party is located shall provide proof; If it is for tourism or business, provide relevant proof of arrival at the destination.
To sum up, emergency treatment in different places can be reimbursed if it meets the requirements, but you should follow the prescribed procedures to understand the local medical insurance policy.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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