Suzhou medical insurance remote transfer online processing

Pay attention to the official account of "Suzhou Medical Insurance" WeChat WeChat. Apply through the "Pocket Hall-Online Service-Remote Archive" or "Pocket Hall-Online Service-Self-Recommendation" module.

1. After completing the social insurance procedures for employees in Suzhou, the employing unit or the insured person shall fill in the Application Form for the Transfer and Continuation of the Relationship between the Basic Endowment Insurance for Insured Employees in Suzhou and the Application Form for the Transfer and Continuation of the Relationship between the Basic Endowment Insurance and the Medical Insurance for Enterprise Employees with the payment certificate of the basic endowment insurance and the medical insurance certificate issued by the social security agency in the original insured place.

2. If the social security agency audit meets the conditions for transfer and connection, it shall contact the social security agency of the original insured place to handle the transfer formalities, and record the payment of basic old-age insurance for enterprise employees and medical insurance for employees over the years according to the Information Form for Transfer and Connection of Basic Old-age Insurance Relationship and the Information Form for Change of Medical Insurance Types for Insured Persons.

For insured persons who have reached the age of 50 for men and 40 for women, if they move to a non-registered place to open a new account for insurance, the social security agency in the new registered place will establish a temporary basic old-age insurance payment account for them. If the relationship between basic old-age insurance and employee medical insurance has been established, the new insured place will not go through the continuation procedures, and the relationship between basic old-age insurance and employee medical insurance is still in the original insured place. According to the Notice of Ministry of Human Resources and Social Security on Several Issues Concerning the Transfer and Continuation of the Basic Old-age Insurance for Employees of Urban Enterprises, the old-age insurance premium shall be paid in one lump sum. When the inter-provincial migrant workers transfer and continue the endowment insurance relationship, if they pay the endowment insurance premium in one lump sum for more than 3 years (inclusive) according to the provisions of the state, the transfer place shall provide the corresponding documents with legal effect issued by the people's court, the auditing department, the administrative department that implements labor security supervision or the labor dispute arbitration commission to prove the existence of labor relations during the one-time payment period. Therefore, it is suggested that the insured person go to the counter of the social security center to verify whether it meets the acceptance conditions before handling the transfer.

Definition of medical record objects in different places;

1. Resettlement of retirees in different places: refers to those who have settled in different places after retirement and whose household registration has moved to their place of residence.

2. Long-term residents in different places: refers to people who live in different places and meet the requirements of the insured place.

3. Resident in different places: refers to the personnel who are sent by the employer to work in different places and meet the conditions of the insured place.

The above three types of personnel are referred to as "expatriates". At the same time, the direct settlement function of social security card and medical insurance electronic certificate in the insured place will be suspended, and the filing can be cancelled after 60 days.

4. Referral personnel from different places: refers to those who have been diagnosed by hospitals at or above the county level with referral qualifications and cannot be diagnosed due to limited medical technology and equipment in this city, and need to be transferred to other hospitals for treatment. The recommended filing period is one year.

5. Self-referral personnel: those who are not the above-mentioned "four types of personnel", fail to go through the referral procedures according to the regulations of the insured place, and go to the designated hospitals in different places for medical treatment. Self-recommendation filing procedures are valid for one year.

legal ground

Measures of Suzhou Municipality on the Administration of Social Basic Medical Insurance for Medical Treatment in Different Places

Article 4

When medical personnel in different places go to designated medical institutions for online settlement in different places, they should pay directly with the provincial standard social security card.

Article 5

Procedures for filing medical treatment in different places: Insured persons who meet the requirements for medical treatment in different places must apply to the medical insurance agency in the insured place in advance, provide social security citizen cards, resident ID cards and other materials, and the medical insurance agency will handle medical treatment in different places for them. Did not receive the provincial standard social security card, receive the corresponding provincial standard social security card.

Article 6

Expatriates will freeze the direct settlement function of social security card for medical treatment in the insured place after going through the formalities for medical treatment in different places. After the insured person returns to the insured place, he should go to the medical insurance agency to cancel going abroad for medical treatment in time, and the medical insurance agency will restore the local use function of the social security card. Cancellation of going abroad for medical treatment can only be handled 60 days after filing.