The reimbursement process of Shenzhen medical insurance hospitalization in different places

Yes, at present, 99 hospitals in Shenzhen have opened the settlement function of medical treatment in different places in the province, but at present it is only for citizens hospitalized in Shenzhen hospitals. The specific application process is as follows:

Step one: put it on record

① When medical insurance patients from different places in Guangdong Province visit these 99 hospitals, doctors will issue admission notices according to the patient's condition.

② With admission notice, patient's ID card (or household registration book), medical insurance card and other documents, the family members went to the social security department of the place where the patient was insured for medical treatment in different places, and selected 99 designated hospitals in Shenzhen as designated hospitals for medical treatment in different places.

Step 2: Enter information.

Take the registration form, ID card (or household registration book) and medical insurance card issued by the local social security department to go to the hospitalization fee office to register in different places.

Step 3: Settlement

When the insured person meets the discharge standard, he/she shall go through the online settlement formalities at the hospitalization charge office with the discharge notice. Pay attention to the settlement is divided into two situations, as follows:

1. If the telemedicine platform is verified, the patient can be settled immediately after discharge.

2. If the remote medical platform fails to pass the verification, the patient needs to settle at his own expense when he leaves the hospital, and return the relevant information to the social security department of the insured place for reimbursement.

Legal basis:

Guiding opinions of Ministry of Human Resources and Social Security, Ministry of Finance and National Health and Family Planning Commission (20 14) basically realize the direct settlement of medical treatment in different places in municipal-level overall planning areas, standardize the establishment of a provincial-level settlement platform for medical treatment in different places in 0 15, basically realize the direct settlement of hospitalization expenses in different places in the province in 0 16, and establish a national settlement platform for medical treatment in different places in 0 16, so as to fully realize the inter-provincial settlement of retirees.

In principle, the payment scope of the medical insurance pooling fund specified in the place of residence (including drug list, diagnosis and treatment items and standards of medical service facilities) shall be implemented, and the Qifubiaozhun, payment ratio and payment limit shall be implemented in principle, and the medical treatment standard specified locally in the insured place shall be implemented, not in accordance with the proportion of overseas medical treatment payment. Upon my application, I can transfer the funds in my personal account to individuals for outpatient medical treatment and medicine purchase.