Job Recruitment Website - Social security inquiry - Is medical insurance universal in a province?
Is medical insurance universal in a province?
1. Hubei medical insurance card is universal in the whole province. The insured can hold a social security card or ID card. When you go to 63 designated hospitals in the province, you only need to pay the personal burden;
2. Sichuan medical insurance card is universal in the whole province, achieving full coverage at the provincial, municipal and county levels, and promoting one-stop service, one-window processing and one-system settlement of medical insurance;
3. The social security card of Fujian Province is universal in the whole province and can be used in designated medical institutions connected to the national network. General outpatient service and hospitalization shall be settled by credit card immediately without filing;
4. Inter-provincial use of medical insurance cards requires medical insurance networking cooperation between the two provinces. From 20 18, medical insurance will be settled in different places, and the scope will be further expanded in 2023.
Inter-provincial settlement process of medical insurance in different places;
1. Before seeking medical treatment in a different place, patients should first go to the medical insurance agency where their household registration is located to go through the formalities for filing medical treatment in a different place;
2. After successful filing, patients can seek medical treatment in designated medical institutions in different places with medical insurance cards and ID cards;
3, in the process of medical treatment, patients should pay their own expenses and reimbursement ratio according to the local medical insurance policy;
4. At the time of settlement, medical institutions conduct online settlement through the national medical insurance information platform;
5. The patient's personal account expenses shall be directly settled at the place where the patient goes to see a doctor, and the overall expenses shall be paid in advance by the place where the patient goes to see a doctor;
6. Check and settle the expenses between medical insurance agencies to ensure that patients enjoy the medical insurance benefits they deserve.
To sum up, the medical insurance cards in Hubei, Sichuan and Fujian provinces can be used all over the province, which is convenient for the insured to pay for medical treatment in different places. The use of medical insurance cards across provinces requires the cooperation of two provinces. At present, it has begun to gradually realize the overall settlement of medical insurance in different places, and plans to further expand the scope in 2023.
Legal basis:
People's Republic of China (PRC) social insurance law
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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