Beijing social security home to see the doctor can be reimbursed?

Beijing social security to go back home to see a doctor can be reimbursed, eligible Beijing insured people only need to apply in advance for a good record of medical treatment in a different place, to go to the place of medical insurance designated hospitals, can be reimbursed for medical expenses. At present, Beijing has the following four categories of people can apply for cross-provincial medical treatment.

01 Retired participants who are resettled in other places;

02 Participants whose units are permanently stationed in other places;

03 Participants who are permanently residing or studying in other provinces and cities;

04 Participants who are transferred to other places to seek medical treatment for their medical conditions.

There are several steps to complete the reimbursement of medical insurance for overseas medical treatment

First step: registration

Beijing insured persons need to enter their basic personal information into the medical insurance information system database for the record before seeking medical treatment in other places. Only those insured persons who have made the record registration beforehand can realize the direct settlement or manual reimbursement of expenses for medical treatment in other places (except for emergency treatment).

Offline:

Urban employee participants go to the social insurance agency in the insured area through their units to make the record;

Urban and rural resident participants go to the social insurance agency in the insured area through the social security office in the place where they are insured to make the record;

Participants who need to be transferred to other places to seek medical treatment for their medical conditions are required to submit the "Medical Insurance Certificate" to the hospital of the designated point of care for medical treatment in the city with a clear and complete form filled out by the insured person himself/herself or by his/her relatives and stamped by the hospital of the designated point of care in the city. The participants who need to transfer to other places for medical treatment due to their illnesses will be handled by themselves or their relatives with the "Record Form for Transferring to Other Places for Medical Treatment under Beijing Basic Medical Insurance" which is filled out clearly and completely and stamped by the designated hospital in the city for transferring to other places for medical treatment.

Online:

Urban workers and urban and rural residents can apply for the record for themselves through the APP of the National Health Insurance Service Platform or the WeChat app of the National Record of Medical Treatment in a Different Place, or their family members or friends can do it on their behalf. Under normal circumstances, the Beijing Municipal Office will complete the review within 2-3 working days after submitting the filing application.

Step 2: Inquire about the opening of designated hospitals

Following up on the previous article, the insured can inquire about the opening of designated medical institutions in other places in the APP or small program's "filing in other places" page.

The third step: medical insurance electronic vouchers or physical card medical

Successful filing of the insured person, with the medical insurance electronic vouchers or physical card directly to the place of medical treatment I filed fixed-point hospitals can be.

Reimbursement procedures for foreign medical insurance: for foreign filing by the employee, the unit to submit an application, the application must indicate the basic situation of the stationed personnel, long-term work outside the region and the city (excluding Hong Kong, Macao and Taiwan), and so on. In addition, the "urban workers' basic medical insurance for resettlement in a different place of residence and long-term stationing abroad for business purposes" (stamped with the official seal of the unit) (in duplicate) is also required. Reimbursement process of medical insurance in different places:After the insured person applies for the record in different places, he/she only needs to go to the designated hospital of the employee medical insurance in his/her place of residence for hospitalization. The hospitalization medical expenses incurred by the insured person in the filed place will be paid in advance and then reimbursed by the medical insurance center according to the regulations after discharge from the hospital.

Legal basis:

The People's Republic of China Social Insurance Law

Article 28 of the basic medical insurance drug list, diagnostic and treatment items, standards of medical services and facilities, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.

Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be paid by the social insurance administrative organization. Settle directly with medical institutions and drug business units.

The [administrative departments of social insurance] and the administrative departments of health] shall establish a system of settlement of medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.

Article 30 The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:

(1) those which should be paid from the workers' compensation insurance fund;

(2) those which should be borne by a third person;

(3) those which should be borne by the public ****health;

(4) in the case of medical treatment outside the country, the medical expenses should be borne by a third person according to law, and the third person does not pay. If the third party does not pay or cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund first paid, the right to recover from the third party.