Can Guangzhou medical insurance be used in other places?

Of course. Guangzhou medical insurance card can be used in other cities in Guangdong. Since Guangzhou has been networked with the medical insurance settlement systems in Ministry of Human Resources and Social Security and Guangdong Province, eligible insured persons from other provinces can immediately go to Guangzhou for settlement of medical treatment in different places, that is, after the insured persons who meet the requirements of medical treatment in different places in Guangzhou go through the filing formalities according to regulations, they can also take social security cards that meet the national standards to other areas in China that have been connected to the national medical insurance networked settlement system for medical treatment in different places to immediately settle hospitalization expenses.

First, the reimbursement process for medical treatment in different places:

Before or within 3 days after hospitalization, call the consultation telephone number of the new rural cooperative medical system in your hometown to register the hospitalization situation;

After discharge, the residence certificate must be issued by the neighborhood office or neighborhood Committee of the place of residence. If you work outside, you need a work certificate issued by your work unit;

After discharge, submit a copy of medical records, a summary list, hospitalization bills and discharge certificates, and then submit them to the participating places for reimbursement with the patient's ID card, cooperative medical certificate, residence or work certificate;

If you go directly to a hospital outside the province for chemotherapy from the participating place, you must go through the referral and transfer procedures before you can go to a different place for hospitalization;

Second, the proportion of reimbursement outside the province is the lowest. The general deductible is around 2000, and the reimbursement ratio is 45% of the reasonable expenses. If you spend less, it is difficult to reimburse a few dollars. The lower the hospital level, the higher the reimbursement ratio.

In case of the following long-term medical treatment in different places, the effectiveness of the insured person's medical treatment in different places shall be terminated, and the insured person or the employer shall go through the cancellation procedures of medical treatment in different places at the medical insurance agency of this Municipality:

(a) the insured person returns to live and work in this city for a long time;

(two) the insured returned to the city after graduation;

(3) The original employing unit has reduced the number of employees and stopped paying for the insured;

(four) due to changes in circumstances, it no longer belongs to the scope of medical treatment in different places stipulated by the social medical insurance of this Municipality.

After long-term medical treatment in different places is cancelled, the insured can immediately enjoy hospitalization and special treatment in designated medical institutions in the city according to regulations; Enjoy general outpatient treatment according to regulations from the month after cancellation.

Guangzhou's medical insurance card cannot be used in other provinces. As the current medical insurance has not been implemented at the municipal level, the medical insurance card in Guangzhou can only be used in designated hospitals and pharmacies in Guangzhou, and cannot be used elsewhere. Scope of use of Guangzhou medical insurance card:

Four, under normal circumstances, when you need to be hospitalized, you can use the medical insurance card and medical records to the hospital you specify. That is to say, some of them are paid by themselves at their own expense, and some medical insurance centers and hospitals reimburse and settle accounts. If the patient is critically ill and hospitalized in a non-designated hospital, he should go to the municipal medical insurance center for emergency rescue disease identification within 5 days. After being identified as an emergency rescue disease, he can use the medical insurance card for settlement in the rescue hospital.

Transfer to other places for treatment, and go through the referral procedures with the consent of the hospital and the medical insurance center. The expenses incurred in the field shall be settled by the individual at his own expense, and after the diagnosis and treatment, the community labor security workstation shall prepare the materials for reimbursement.

Special diseases (cancer, uremia, organ transplantation) are recognized, and they will be settled by medical insurance card when they are hospitalized.

Legal basis:

People's Republic of China (PRC) social insurance law

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.