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How to handle the filing procedures for medical treatment in different places in Shanwei Province
1. The insured person fills in the application form for medical treatment in different places at the social security center of the insured place with the social security card and goes through the registration;
2. After being approved for filing, medical institutions will be designated in the place of residence 1-3 according to the principle of proximity, and the cycle will generally be determined once a year. After being approved by the social security unit of the designated institution, the filing is completed.
The online processing flow is as follows:
1, pre-acceptance, and upload clear images of corresponding materials as required;
2. Feedback the results and whether the pre-acceptance is successful. If successful, you can choose to provide paper materials to the front desk or mail them to the agency.
The window processing process is as follows:
1, application. The applicant submits the application materials to the Medical Insurance Section of Shanwei Social Insurance Fund Administration;
2. accept. Verify the application materials and make an acceptance decision on the spot. If the applicant meets the application qualification, and the materials are complete, the format is standardized and the legal form is met, it shall be accepted; If the applicant does not meet the application qualification or the materials are incomplete and do not meet the statutory form, the recipient will not accept it; If the applicant's materials do not meet the requirements but can be corrected on the spot, they will be accepted after being returned to correct on the spot. If it doesn't pass, tell the reason.
Legal basis: Article 27 of People's Republic of China (PRC) Social Insurance Law.
Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
Article 28?
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 33?
Employees shall participate in work-related injury insurance, and the employer shall pay the work-related injury insurance premium, and the employees shall not pay the work-related injury insurance premium.
Article 36?
Workers who are injured by accidents or suffer from occupational diseases due to work reasons and are recognized as work-related injuries shall enjoy work-related injury insurance benefits; Among them, those who lose their ability to work after the appraisal of their ability to work enjoy disability treatment.
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