Tianjin social security reimbursement process for medical treatment in different places

The reimbursement process of Tianjin Social Security for medical treatment in different places is as follows:

1. When the insured in different places seek medical treatment, they shall go through the online registration formalities with the social security card;

2, the insured in accordance with the existing process of Tianjin medical institutions, hospital registration procedures;

3. When the insured is discharged from the hospital, he shall pay the expenses that should be borne by himself according to the hospitalization in the insured place, and the expenses paid by the medical insurance agency in Tianjin shall be settled according to the agreement with the designated medical institutions;

4. According to the requirements of Ministry of Human Resources and Social Security, the hospital prints hospitalization documents, and the printed contents of the documents correspond to the subject names according to the standards provided by the insured places. "Receipt" to the insured patients, "bookkeeping" kept by the hospital for future reference;

5. Tianjin medical institutions print Tianjin inter-provincial networking statements.

Matters needing attention in Tianjin social security reimbursement for medical treatment in different places are as follows:

1. According to the requirements of Ministry of Human Resources and Social Security, if the insured persons from different places go to Tianjin for medical treatment and direct settlement, the scope of medical insurance payment in Tianjin and relevant regulations (basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards) shall be implemented. Qifubiaozhun, payment proportion and maximum payment limit of the basic medical insurance pooling fund shall be implemented in principle according to the reimbursement policy of the insured place;

2, should be paid by the overall fund, civil servants Medicaid, large relief, serious illness in urban and rural areas, other subsidies and other medical expenses shall be settled together;

3. If the insured person advances medical expenses in full for some reason, the medical institution will upload relevant information, and the insured person will be reimbursed according to the original advance process.

To sum up, according to the local medical insurance regulations, people who go to see a doctor in different places must first go through the registration procedures for medical treatment in different places, and the medical expenses incurred in different places must be paid in advance by themselves. After the medical treatment, you should go through the reimbursement procedures with the relevant bills to the medical insurance agency in the insured area.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and 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.