How to reimburse medical insurance reimbursement in different places?

The reimbursement process of medical insurance in different places is as follows:

1, the insured person brings 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;

2. The hospitalization expenses and medicine expenses can be settled directly at the hospital medical insurance office.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations. "People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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.

Small partners who have settled in different places for a long time, with your ID card and second-generation social security card, go to the social security management center of the insured place and fill out a Registration Form for Long-term Medical Treatment in Different Places.

If you need medical treatment or hospitalization in different places, you can directly reimburse the hospital registered in the inter-provincial network settlement system with the medical insurance card. There is no need to travel back and forth. This is the "National Social Insurance Service Platform", which is official website. You can log in safely.

On this website, you can find out which hospitals are designated medical institutions in different places, medical records in different places, medical expenses in different places and other practical information.

If the hospital you go to is not in the system, you need to return to the insured place with the drug list, bills and medical certificate, and apply for reimbursement at the medical insurance window in different places. In that case, it will be very troublesome. In addition, the medical insurance card is an important voucher for medical treatment in different places. Everyone must protect the medical insurance card. If you are worried about forgetting to bring your social security card, you can apply for an "electronic social security card" on WeChat or Alipay, which has the same function as a physical social security card. Take Alipay as an example.

Alipay version 1.80.3:

Handling Path: Alipay Home → City Service → Electronic Social Security Card → Upgrade Electronic Social Security Card.

It only takes a few steps to open it successfully, which is very convenient.

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I went to a big city to see a doctor, but I still want to reimburse social security, but I can't just leave. If you want to reimburse according to the original proportion, you should either do a good job of "long-term registration and filing for medical treatment in different places" in advance, or you need a "cross-provincial referral and referral certificate" issued by the local hospital, which will be referred to different places for medical treatment after being reviewed and approved by the local social security department. This is called "referral for medical treatment". The three-year referral certificate is not opened casually. If there is local treatment, just for better medical conditions, you need to go to a big city to see a doctor, then the general hospital will not open it. Otherwise, everyone will go to big cities for medical treatment, which will undoubtedly aggravate the contradiction between supply and demand of medical resources. If the hospital you want to go to has been included in the inter-provincial medical insurance network settlement system, you can directly brush the medical insurance card for reimbursement after seeing the disease; If the hospital you go to is not a designated hospital, you need to pay in advance and go back to your hometown for reimbursement. If you see a doctor halfway, you feel that the level of doctors in your place is not good, and the conditions of the hospital are not good. Without the consent of the attending doctor and the hospital, you have not notified the social security agency in your hometown for filing, and you go directly to a large hospital outside the province to see a doctor. This is "no referral for medical treatment".