Job Recruitment Website - Social security inquiry - How to get medical insurance in Beijing? How to choose a hospital? Can an unselected hospital go to this hospital to see a doctor?
How to get medical insurance in Beijing? How to choose a hospital? Can an unselected hospital go to this hospital to see a doctor?
1. medical personnel in different places need to go to the county medical insurance center through the insured unit or the street social security office for examination and approval of resettlement, and apply for a "medical insurance resettlement declaration and approval form" in "
2. Go to the medical insurance department of a different hospital (you choose to go to the medical insurance office of the municipal hospital) and stamp it.
3. Return the "Application Form for the Relocation of Medical Insurance in XX City (Transfer to a Hospital)" to the agency where the application is located, waiting for approval.
4. The time limit for examination and approval in different places is one year (i.e. from the date of handling to the date of the following year), which shall not be changed within one year; After the expiration of the approval period, if the resettlement personnel still need medical treatment in different places, they shall be re-approved.
Selection of hospitals in different places
There are different regulations on how many hospitals you can choose for medical treatment in different places, usually two or three. If it is stipulated to choose a secondary hospital, you can choose a tertiary general hospital and then choose a hospital nearby; If you choose three hospitals, you can choose a specialized hospital related to your own disease on the basis of the first two hospitals.
Off-site reimbursement
1. When outpatients and inpatients seek medical treatment in different places, they need to produce expense receipts and lists, prescriptions, detailed lists, medical insurance manuals and disease diagnosis certificates (be as detailed as possible to avoid refusing visas due to incomplete diagnosis). At the same time, it is necessary to issue a grade certificate of the hospital, submit it to the employer (or social security office) for summary, and report it to the county medical insurance center for review and settlement.
2. Medical expenses incurred in designated hospitals in different places can be reimbursed back to the original city by mailing reimbursement documents and family members' declarations. The scope and standard of reimbursement are completely implemented in accordance with the medical insurance benefits of the city where they are located. Reimbursement can be collected by family members or by setting up a special passbook.
skill
1. Different cities have different medical insurance policies. People who need medical treatment in different places need to consult the local medical insurance management department for specific policies. In particular, the scope of reimbursement stipulated by medical insurance varies from place to place. It should be noted that those who come to Beijing for medical treatment in different places can be reimbursed within the scope of Beijing medical insurance, and foreign medical insurance may not be reimbursed. Therefore, medical personnel in different places must pay attention to the reimbursement scope of local drugs and medical treatment items, so as to remind doctors to adjust prescription drugs and reduce personal burden when seeing a doctor.
2. It usually takes about one month to apply for examination and approval in different places. People who need medical treatment in different places should apply in advance, otherwise there is nowhere to reimburse the medical expenses in the "non-scheduling period".
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How do Beijing insured people seek medical treatment in different places?
Beijing's medical treatment in different places is basically in line with the above situation. Article 5 of Beijing 2006 54 38+0 23 document stipulates that the insured who are resettled in different places or stay in other places for a long time should fill in the Application Form for Relocation (Transfer) of Beijing Medical Insurance when choosing a designated medical institution for personal medical treatment. Relocation personnel can choose the designated medical institutions of basic medical insurance at or above the township level, and those who stay in the field for a long time can choose the designated medical institutions of basic medical insurance at or above the county level. This provision tells us that, firstly, this approval form is used for the resettlement of retirees in different places and the long-term overseas medical treatment of employees. Second, medical staff in different places can choose one hospital in Beijing and two hospitals in other places.
skill
1. When choosing a designated medical institution in Beijing, patients seeking medical treatment in different places in Beijing may not choose 3A hospitals or specialized hospitals, because they can be reimbursed if they don't choose.
2. Retirees in Beijing who are unable to return to Beijing for treatment due to sudden illness during their visit to relatives outside the administrative area of Beijing may seek medical treatment in local designated medical institutions with basic medical insurance at or above the county level, and the medical expenses shall be audited and reimbursed according to the relevant provisions of Beijing basic medical insurance.
This form has dual purposes. Fill in the column of "hospital in different places" for resettlement, and fill in the column of "medical treatment in different places" for medical treatment in different places.
4. In the column of "Personnel Category", fill in "On-the-job, Retirement or Resignation", etc.
5 this form is approved by the employer in the medical insurance agency.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.
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