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Foreign medical insurance can be reimbursed for medical treatment in Guangzhou
After the record, you can directly settle the reimbursement when you visit the designated hospitals in Guangzhou. It should be noted that some hospitals may not be able to make direct settlement and reimbursement, and you need to bring the relevant information to the health insurance agency in your place of participation for reimbursement.
The reimbursement process for individuals who have paid for health insurance is generally as follows:
1. Seeing a doctor: When you visit a medical institution or buy medicines, you need to show your health insurance card and ID card;
2. Preparing reimbursement materials: At the end of the visit, you need to ask the medical institution for diagnostic and treatment records, doctor's orders, prescriptions, receipts and other related materials, and fill out a reimbursement application form.
3. Submission of reimbursement application: Submit the prepared reimbursement materials and application forms to the local social security bureau or medical insurance center for reimbursement application. You can also choose to apply for reimbursement online;
4. Review of reimbursement application: The local social security bureau or medical insurance center will review the submitted reimbursement application, and the reimbursement will be credited to the individual's bank account after the review is approved.
Scope of use of medical insurance card:
1, the insured workers in the designated hospitals, pharmacies, medicine purchase, with the password in the POS machine swipe card use, but can not withdraw cash or transfer use. The same applies to the use of the urban health insurance card and the use of the rural health insurance card.
2, designated pharmacies: by the individual account and the integrated account of the two accounts composed of health insurance, the individual account can be used to buy medicines in designated pharmacies, mainly responsible for personal out-of-pocket part of the payment of outpatient expenses and hospitalization costs. The integrated account managed by the medical insurance center pays for the expenses incurred by the insured person in accordance with the local medical insurance reimbursement;
3. Designated hospitals: When you present your medical insurance card to prove your identity and registration at a designated hospital, you do not need to pay for the reimbursement, and you can directly settle the reimbursed part of the medical insurance by the medical insurance and the hospital, and the out-of-pocket portion of the reimbursement can be settled by the medical insurance balance or cash payment. The only part of the bill that is paid out of pocket is the balance of the card or the cash payment.
In summary, in order to avoid problems such as inconvenience in settling medical bills and difficulties in reimbursement, the medical insurance card can only be used in the city where it is issued. For some special cases, such as sudden illnesses and business trips that require medical treatment outside of the city, you can settle and reimburse your expenses across regions through the medical insurance network. This requires that the local social security bureau handle the cross-regional medical insurance settlement filing procedures before seeking medical treatment, and the specific operational procedures need to be handled according to the regulations of different regions.
Legal basis:
Article 8 of the Rules for the Implementation of the Social Insurance Law of the People's Republic of China
Medical expenses incurred by insured persons in the agreed medical institutions, which are in conformity with the standards of the basic medical insurance drug catalog, diagnostic and therapeutic items, and medical services, shall be paid out of the basic medical insurance fund in accordance with national regulations. Participants in need of emergency treatment, rescue, can be in a non-agreement medical institutions; rescue must be used for the drugs can be appropriately relaxed scope. Participants in the emergency, rescue medical services specific management by the coordinating region in accordance with the actual situation of the local development.
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