Job Recruitment Website - Social security inquiry - How to reimburse medical insurance if you don't see a doctor in this city?
How to reimburse medical insurance if you don't see a doctor in this city?
1. The reimbursement rate in other provinces is 30%. Take the hospital invoice to the local social security bureau for reimbursement.
2, under special circumstances, due to business trips, family visits, vacations and other reasons, the expenses of emergency hospitalization in different places shall be reimbursed in accordance with the specific provisions of the medical insurance measures. Generally speaking, in an emergency, close diagnosis and treatment are allowed. After the treatment, the local medical insurance institutions shall reimburse them according to the regulations with valid certificates issued by the treatment hospital.
3. In addition, if the children of retirees have settled in Beijing, they can apply for the placement of retirees in the medical insurance center of the insured place. Once completed, they can choose one or two designated hospitals for medical treatment. The expenses shall be paid in advance by myself, and then reimbursed by the medical insurance center in the insurance area.
4. For employees who have been overseas for a long time, they can also apply for medical insurance resettlement in different places, and the unit can apply. After doing well, they can choose one or two designated hospitals for medical treatment, and the expenses will be paid by themselves first, and then they will be reimbursed by the medical insurance center in the insured area.
Off-site application-First, apply for off-site medical treatment in the medical insurance center of the insured city, get three approval forms, find the medical insurance offices of three (or two) designated hospitals with different levels of off-site medical insurance, and then send them to the medical insurance center of the insured place for filing, so that you can be hospitalized in different places, pay in advance in cash, and send them back (or send them back) to the medical insurance center of the insured place for reimbursement with the settlement bill, discharge summary and daily list.
To sum up, the insured person carries the discharge summary, invoice, medication list and medical certificate issued by the unit issued by a different hospital to the local social security agency for reimbursement; The hospitalization expenses and medicine expenses can be settled directly at the hospital medical insurance office.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
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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