Is it the same for social security cross-city medical reimbursement?

Social security cross-city medical reimbursement is not necessarily the same.

1, social security card can be used for reimbursement, medical expenses can be reimbursed by social security card, and all diseases can be reimbursed by social security card;

2. The social security card can be used to see a doctor across provinces, but it needs to go through the transfer procedures of medical treatment in different places at the medical insurance center of the insured place, and then go to the designated medical institutions in different places for reimbursement;

3. Generally, social security clinics in different places cannot be reimbursed unless the local government has relevant cooperation policies with other regional governments;

4. Cross-regional reimbursement of medical insurance belongs to cross-regional reimbursement within the province, which is generally the same as the insured place; For cross-provincial reimbursement, the payment scope and relevant regulations stipulated by the medical treatment place are generally implemented. Policies vary from place to place. Please consult the local human resources and social security bureau for specific standards.

Scope and standard of social security reimbursement:

1. Reimbursement ratio of basic medical insurance: the reimbursement ratio of basic medical insurance may be different in different regions, which is usually determined according to the total medical expenses and the accumulated annual contributions of individuals;

2. Reimbursement scope of drugs and treatment items: Local social security bureaus will formulate corresponding drug catalogues and medical service items, and only drugs and items in the catalogues can be reimbursed;

3. Selection of designated medical institutions: Social security participants can only enjoy reimbursement in designated medical institutions, and cross-city medical treatment may require referral procedures in advance;

4. Reimbursement policy for special diseases: For special diseases such as major diseases and chronic diseases, various localities may have special reimbursement policies, such as increasing the reimbursement ratio or setting up a separate medical assistance fund;

5. Direct settlement policy for medical treatment in different places: In some areas, direct settlement policy for medical treatment in different places is implemented to reduce the reimbursement process and time cost for medical treatment in different places.

To sum up, there are differences in social security reimbursement for cross-city medical treatment, so it is necessary to go through the transfer procedures for medical treatment in different places and abide by relevant regulations. The specific reimbursement standards need to be consulted with the local human resources and social security bureau.

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.