How to see a doctor in different places for medical insurance in different places

Foreign medical insurance cards can be used locally, and the process of using them in different places is as follows:

1, file a case first. The insured person needs to go to the agency of the insured place for filing when seeking medical treatment across provinces, and the agency collects the necessary information. At present, there is a unified filing form in the whole country, which contains clear and key information;

2. Choosing a designated point means that the masses need to choose a designated medical institution (note that it is a cross-provincial designated medical institution). For example, if they choose to go to Beijing and Shanghai for medical treatment, they must go to designated medical institutions that are cross-provincial and seek medical treatment in different places;

3. Admission registration and discharge settlement card. Patients must use social security cards, and they must hold cards for admission and settlement.

After the insured person has gone through the confirmation procedures for medical treatment in different places, he can go to designated medical institutions in different places for medical treatment. The amount of his personal medical account can be withdrawn through any business outlet of the medical insurance card, which is used to support the expenses of outpatient general diseases and the expenses of drug purchase and dispensing in pharmacies.

If the insured person is hospitalized (including outpatient specific treatment), he can go to the local designated medical institution for inpatient and outpatient specific treatment, and the medical expenses shall be paid in advance by the individual. Within 1 month from the date of discharge, the insured unit shall apply for reimbursement to the municipal medical insurance center with the following information;

(1) Copies of the front and back of the medical insurance card;

(2) A copy of the confirmed application form for medical treatment in different places;

(3) The discharge or diagnosis certificate shows that the medical expenses of specific outpatient items must be accompanied by a copy of the Mente Application Form approved by the Municipal Medical Insurance Center (except for emergency observation);

(4) Detailed list of medical expenses;

(5) Official receipt of medical expenses (with the signature of the reimbursement person on the back).

Medical insurance settlement in different places is divided into four steps: online filing, fixed-point inquiry, medical insurance card treatment and settlement fee inquiry.

1. Online filing At present, the insured can conveniently and quickly go through the filing procedures for medical treatment in different places through the "National Medical Insurance Service Platform" mobile APP or the "National Medical Treatment in Different Places" WeChat applet.

Download the national medical insurance service platform APP.

Search, download and install the "National Medical Insurance Service Platform" APP in the mobile phone application market.

Activate medical insurance e-cert

After the insured person registers and logs in, he/she will authenticate his/her real name and real person according to the prompts, and activate the electronic medical insurance certificate.

Inter-provincial medical records

On the homepage of the national medical insurance service platform APP, click "Off-site filing" under online processing to enter the "Off-site medical treatment" page, and click "Off-site medical treatment filing application".

Record query

After applying for cross-provincial medical record in different places, you can find the record at the bottom of the "Record in Different Places" page, and click to inquire about the record results and details.

2, query fixed point

The insured can inquire about the opening of designated medical institutions in the overall planning on the page of "Record in Different Places".

Step 3 see a doctor

The insured who has successfully filed a medical record can go to the designated medical insurance hospital for medical record, and the medical expenses can be directly settled by medical insurance electronic certificate or entity card. The direct settlement of medical treatment in different places shall be implemented in accordance with the catalogue of medical treatment places, the policy of insurance places and the regulations on the management of medical treatment places.

Failing to go through the registration formalities as required (except emergency), or medical expenses incurred in non-designated medical institutions will not be reimbursed.

4, settlement fee query

At the bottom of the "off-site filing" page of the medical insurance APP of the "National Medical Insurance Service Platform", find and click "Inquire about the direct settlement expenses of off-site medical treatment" to inquire about the details of off-site medical treatment expenses.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 4 of People's Republic of China (PRC) Social Insurance Law

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.

Article 7

The administrative department of social insurance in the State Council is responsible for the national social insurance management, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties.

The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.