How to reimburse Dongguan Social Security for going to Guangzhou for hospitalization?

The reimbursement process of Dongguan Social Security in Guangzhou is as follows:

1, the transfer procedure is opened in the local hospital, and the referral form is signed by the attending doctor and stamped by the referral hospital. Some emergency cases can be referred within three days of going out for medical treatment;

2. Take the referral form to the local medical insurance bureau and stamp it, then you can go to the hospital for medical treatment;

3. Bring back the medical bills, medical records and official seals of the hospital after seeing a doctor;

4. Take medical expenses, ID cards, medical insurance cards, referral forms and medical records and keep them in the local medical insurance department for cash back. Generally, it is reimbursed back to the bank card, and the proportion of reimbursement for medical treatment outside the province will be less than that in the province;

5. Each region has its own requirements, and the reimbursement ratio is different, depending on the requirements of the local medical insurance department.

Materials required for cross-provincial hospitalization reimbursement of social security card:

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;

8. If it is an agent, you need to provide the original ID card of the agent.

To sum up, when applying for reimbursement of outpatient medical expenses, the applicant should first deduct the amount allocated to the personal account of medical insurance in this social security year, and then verify the reimbursement amount.

Legal basis:

"Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law" Article 8.

The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.