Job Recruitment Website - Social security inquiry - Does the medical insurance outpatient emergency reimbursement need a diagnosis certificate?

Does the medical insurance outpatient emergency reimbursement need a diagnosis certificate?

Yes, take Qingdao as an example.

The Measures of Qingdao Municipality on Basic Medical Insurance for Urban Workers have corresponding provisions:

Article 37 Where a person who enjoys the basic medical insurance benefits needs to be referred or transferred to another hospital, an application shall be made by the designated medical institution, and the referral and transfer for treatment shall be approved by the social insurance agency.

Article 3 The basic medical insurance premium shall be co-ordinated at the municipal level and implemented step by step. The basic medical insurance premiums of Shinan District, Shibei District, sifang district, Licang District, Laoshan District, Huangdao District and Chengyang District shall be included in the municipal overall planning as required; Jimo city, jiaozhou city, Jiaonan, Laixi and pingdu city's basic medical insurance premiums are temporarily raised and managed by local social insurance agencies, and are incorporated into the city's overall planning in due course.

Extended information of laws and regulations related to basic medical insurance for urban workers in Qingdao;

Article 7 The employing unit shall truthfully declare and pay the basic medical insurance premium to the social insurance agency in accordance with the regulations.

Article 8 The basic medical insurance premium shall be paid jointly by the employer and the employees.

The employer takes the total wages of employees as the payment base. In 2005, the number of employers in Shinan District, Shibei District, sifang district and Licang District was 8%, and that in Laoshan District, Huangdao District and Chengyang District was 7%. In 2006, employers in seven districts accounted for 8%; Since 2007, employers in seven districts have paid 9%.

On-the-job employees take their salary income as the base of payment, which is withheld and remitted by the unit according to the proportion of 2%. Retirees don't pay their own fees.

Baidu Encyclopedia-Provisions of Qingdao Municipality on Basic Medical Insurance for Urban Workers