What do you need to pay medical insurance in Gucheng County, Xiangyang City and reimburse in other places?

The medical insurance paid in Gucheng County, Xiangyang City needs to bring my social security card, ID card and direct discharge reimbursement when being hospitalized in other places, and the medical staff in different places cannot directly settle accounts at the medical institution site for special reasons. It should be held within 60 days after discharge.

1) original receipt of hospitalization medical expenses;

(2) The original hospitalization diagnosis certificate;

(3) The original detailed summary list of hospitalization medical expenses;

(4) a copy of the summary or record;

(5) A copy of the admission record (for emergency or trauma admission);

(6) The original and photocopy of my social security card or ID card, and other agents shall provide the original and photocopy of my agent's ID card or social security card; Go to Gucheng County Medical Insurance Bureau of Xiangyang City for reimbursement.

Hospitalization in the selected networked medical institutions in different places under the condition of meeting the medical insurance regulations: medical personnel in different places must register in the networked medical institutions in different places with valid social security cards, and implement the diagnosis and treatment procedures and service specifications of the medical institutions in the place where they seek medical treatment.

Failing to make on-site settlement in medical institutions outside the city: If medical personnel in different places fail to make direct settlement in medical institutions due to special reasons, the medical expenses incurred in the selected medical institutions in different places will be paid in full by individuals, and they will go to the social security agencies in towns (streets) in this city for reimbursement of hospitalization in different places with the information within 60 days after discharge.

General outpatient service:

Other long-term off-site residents (employees) paid the outpatient medical insurance premium in the current year, and in the first quarter of the following year, the social security department included the insured person's social security card financial account (or the current bank account provided by himself) for off-site outpatient medical expenses, and the overspent part will not be covered, and at the same time, it will no longer enjoy the overall treatment of outpatient services in our city.

Out-of-town medical personnel shall not pay the outpatient expenses incurred outside the medical institution selected by the specific outpatient service.

Article 29 of the Social Insurance Law stipulates that the part of the insured's medical expenses 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.