How to open off-site settlement of Ningbo medical insurance card

Situation 1: Retirees or elderly residents in urban and rural areas live in different places, such as living in their children's homes, or going back to their hometown, or visiting relatives and friends.

Materials required:

Social security card; "Ningbo basic medical insurance application form for living in different places"; The relevant proof materials for living in different places can be a copy of the asylum seeker's household registration book, identity card or real estate license, or my residence permit or real estate license or a rental contract in different places;

Situation 2: On-the-job employees have worked or studied abroad for more than 6 months.

Required materials: social security card; "Ningbo basic medical insurance application form for living in different places" (sealed by the unit, proving long-term work or going abroad for further study);

Situation 3: Individual industrial and commercial households, flexible employees and unemployed people have worked and lived in the field for more than 6 months.

Required materials: social security card; "Ningbo basic medical insurance application form for living in different places"; Proof of work or residence in different places, such as employment contract, business license or temporary residence permit, real estate license or rental contract;

In the above three cases, the Application Form of Ningbo Basic Medical Insurance Living in Different Places can be downloaded and filled in on the website of Ningbo Human Resources and Social Security, or it can be filled in at the processing site. The agent shall bring the required materials to the social (medical) insurance agency where the insured relationship is located for the record.

Tip: You can seek medical treatment in designated medical institutions in different places from the next month after filing, and the settlement function of social security card in this city is frozen.

Situation 4: I need to go to other places for medical treatment due to illness.

Materials required:

Social security card;

"Ningbo Basic Medical Insurance Transfer Certificate" issued by designated medical institutions (mainly secondary and above medical institutions);

There are two processing methods:

By the designated medical institutions through the medical insurance computer system on behalf of the declaration procedures, social (medical) insurance agencies online audit after the completion of the record.

The agent shall bring the required materials to the social (medical) insurance agency where the insured relationship is located for the record.

Tip: You can transfer to hospital for medical treatment after filing. The transfer to the hospital must be a designated medical institution of local medical insurance in China, and only one hospital can be selected at a time, and a record is valid for 6 months.

legal ground

Notice on adjusting and perfecting the management service of medical settlement in different places

Article 1 Medical treatment in different places in the province is exempt from filing.

The city's insured persons (including workers and urban and rural residents, the same below) temporarily seek medical treatment in designated medical institutions in other cities in Zhejiang Province, without filing, and can directly swipe their cards (or with medical insurance in electronic certificate, the same below) for medical settlement. The proportion of medical insurance fund payment is reduced by 10 percentage point based on the city's medical treatment.

The second adjustment of medical treatment outside the province.

If the insured person needs to be transferred to a designated medical institution outside Zhejiang Province for medical treatment due to the diagnosis and treatment of diseases, the doctor with the title of deputy chief physician or above in the designated hospital of this Municipality shall issue opinions on going abroad for medical treatment, and go abroad for medical treatment for the record according to the regulations. The proportion of medical insurance fund payment is based on the medical treatment in this city, and it is reduced by 10 percentage point if it is treated in tertiary medical institutions; In secondary and below medical institutions, it is adjusted to 20 percentage points. If the transfer of medical care is not handled according to the regulations, the proportion of medical insurance fund payment will decrease by 10 percentage point on the above basis.

Third, adjust the long-term residence in different places for medical treatment.

(1) If the insured needs to apply for long-term residence in a different place (including inside and outside the province) for filing due to long-term work abroad, long-term residence in a different place, resettlement and other reasons, the long-term residence period in a different place will be shortened to 3 months. The effective time of long-term resident medical records is adjusted to be determined by the insured (the effective time is not earlier than the filing time), and the records shall not be revoked within 3 months from the effective date.

(two) the insured for long-term residence for the record, the relevant medical treatment according to the following provisions:

1. For medical treatment in the place where the permanent residence is located, the proportion of medical insurance fund payment is the same as that of this city;

2. Those who leave their permanent residence for various reasons and temporarily seek medical treatment in designated medical institutions of medical insurance in other cities in Zhejiang Province (including Ningbo) can directly swipe their cards for medical treatment settlement, and the proportion of medical insurance fund payment is reduced by 10 percentage point based on the medical treatment in this city;

3. If it is necessary to leave the place where the permanent residence is located due to the diagnosis and treatment of diseases, and the designated medical institutions with secondary and above medical insurance in the place where the permanent residence is located issue opinions on going abroad for medical treatment, and go to the designated medical institutions with medical insurance in other cities outside Zhejiang Province for medical treatment, the proportion of medical insurance fund payment shall be subject to medical treatment in this city, and it shall be reduced by 10 percentage point for medical treatment in tertiary medical institutions; In secondary and below medical institutions, it is adjusted to 20 percentage points. If there is no opinion of going abroad for medical treatment, the proportion of medical insurance fund payment will decrease by 10 percentage point on the above basis.

Fourth, optimize the management service of college students' medical treatment in different places.

(a) to participate in the medical insurance for urban and rural residents in the city of college students in other cities in Zhejiang Province designated medical institutions for medical treatment, without filing, can be directly credit card for medical settlement, enjoy the same treatment in this city.

(II) When college students go to designated medical institutions outside the province for medical treatment during the winter and summer vacations, when they drop out of school due to illness, or when they meet the requirements of the school, the medical expenses incurred can be applied for piecemeal reimbursement according to the regulations, and they can enjoy the same medical treatment in this city.

(three) other medical conditions of college students are consistent with the provisions of other insured persons.