Can medical treatment in different places in the social security province be reimbursed?

The hospitalization expenses for visiting a doctor in a different place can be reimbursed, but the outpatient expenses cannot be reimbursed. If you are seeking medical treatment in a different place in the province, you can basically use the medical insurance card directly. As long as you register for medical treatment in different places in advance, you can see a doctor and be reimbursed in a networked medical institution in different places. The establishment of the pre-filing system can complete the identification of the insured person and the confirmation of the treatment type in advance, collect the relevant information such as the fund payment history, personal account amount and the latest contact information in advance, eliminate the hidden dangers that affect the direct settlement during the filing process as much as possible, and better ensure the success of the card-holding admission registration and discharge settlement. If it is an ordinary outpatient clinic, such as a cold and fever, it is suggested that it is more convenient to pay directly at your own expense, otherwise it will be very troublesome to go to the medical insurance bureau to hand in the materials and go through the formalities. If it is an emergency, most cities support "treatment first, then reimbursement", but the reimbursement ratio may be less than that of local hospitals.

The following procedures are required for reimbursement of medical insurance in different places:

1, for reimbursement of medical treatment in different places, we need to prepare the discharge summary, invoice and medication list first, and then we need my valid ID card, medical insurance card and medical certificate in different places. If the insured is an individual rather than an enterprise, there is no need to issue a certificate of medical treatment in different places.

2. To issue a certificate of transfer from other places in our hospital, the attending doctor needs to sign the certificate and then go to the hospital medical insurance office to handle the transfer certificate.

Then you can take the above information to the local medical insurance bureau for reimbursement. Generally, the reimbursement fee can be obtained within 3-7 working days at the earliest. In addition, a hospital transfer certificate must be issued. The reimbursement for medical treatment in different places will be less than that for local medical insurance 10%, and it will be less than 20% without transfer certificate.

legal ground

Notice of Ministry of Human Resources and Social Security and the Ministry of Finance on Doing a Good Job in Direct Settlement of Inter-provincial Inpatient Medical Expenses of Basic Medical Insurance.

Article 7 The following persons who participate in basic medical insurance may apply for direct settlement of inter-provincial hospitalization medical expenses.

(1) Resettlement of retirees in different places: refers to those who have settled in different places after retirement and whose household registration has moved to their place of residence.

(2) Long-term residents in different places: refers to those who live in different places and meet the requirements of the insured place.

(3) Resident in different places: refers to the personnel who are sent by the employer to work in different places and meet the conditions of the insured place.

(4) Referral personnel from different places: refers to those who meet the referral conditions of the insured place.

Article 12 Retirees resettled in different places, long-term residents in different places and permanent residents in different places shall independently choose designated medical institutions for medical treatment within the scope of designated medical institutions across provinces when going through the formalities for medical treatment in different places.

Thirteenth remote referral shall, in accordance with the provisions of the insured place, determine the designated medical institutions for referral within the scope of designated medical institutions across provinces.

Fourteenth medical personnel in different places should hold social security cards for medical treatment, and implement the diagnosis and treatment procedures and service standards of medical institutions in the place where they seek medical treatment.

Fifteenth medical institutions in different places shall require designated medical institutions to identify patients in different places and confirm relevant information to provide quality medical services for medical personnel in different places. The agency where the medical institution is located is responsible for the specific audit of medical expenses.