Job Recruitment Website - Social security inquiry - Do employees need medical insurance when they seek medical treatment in different places?
Do employees need medical insurance when they seek medical treatment in different places?
1, put on record first. It can be filed with the local social security agency or online. If you are not filed in advance and are hospitalized in different places due to unexpected events, you can contact the social security agency of the insured place for filing;
2. After successful filing, the hospitalization expenses incurred by medical treatment in different places can be directly reimbursed and settled in designated medical institutions. If the settlement cannot be made for any reason, you can bring relevant information and submit it to the medical insurance service center for reimbursement.
How to handle medical insurance filing in different places?
Resettlement personnel in different places, that is, retirees who have settled in different places and whose household registration has moved to the settlement place, only need to bring their ID card, household registration book or residence permit and social security card to the medical insurance agency in the insured place to find a staff member to handle the filing. After that, I went to a different place for medical treatment and registered for hospital. After treatment, it can be settled directly after discharge.
If the referral personnel from different places want to put on record, they must go through the referral procedures first, and then choose the medical institution for referral from different places. With the "Confirmation Form for Referral and Referral" and social security card, they can go through the direct settlement and filing for medical treatment in different places in the medical insurance agency of the insured place.
For emergency personnel in different places, that is, those who work outside, travel or visit relatives, travel, and those who are hospitalized for emergency rescue, they must complete the filing within three working days of emergency admission. As long as the medical insurance agency in the insured place submits the information about the illness provided by the hospital, such as the outpatient (emergency) medical record and admission certificate. You can apply for registration.
In addition to going to the medical insurance agency of the insured place for filing, you can also file it directly online. Download the "Smart People's Society" APP with your mobile phone, then enter the "Medical Insurance Column", select "Medical Treatment in Different Places" and apply for registration on the "Medical Treatment in Different Places" page.
How long does it take to apply for medical insurance in different places?
Inter-provincial medical registration will take effect at 0: 00 the next day.
Medical insurance workers who have lived in different places for a long time shall go through the examination and approval procedures for medical treatment in designated medical institutions in different places at the medical insurance center. The expenses incurred within the validity period of the temporary residence permit shall be reimbursed according to the relevant regulations, and the medical expenses beyond the validity period of the temporary residence permit shall not be reimbursed. When reimbursing, you should bring medical expense reimbursement bills, all medical expense details and copies of cases, as well as an application form for designated medical care for people living in different places.
Referral from different places shall be approved by the municipal labor and social security administrative department and transferred to different places or non-designated medical institutions for diagnosis and treatment. According to the regulations, the out-of-pocket ratio will be increased by 30% accordingly. Without approval, medical expenses will not be reimbursed.
I hope the above content can help you. If in doubt, please consult a professional lawyer.
Legal basis:
Article 29 of the Social Insurance Law
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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