How to reimburse foreigners for medical treatment and medical insurance in Shanghai

Legal analysis: When the insured is discharged from a different place for medical treatment, the agency at the place of medical treatment will transmit the hospitalization expenses and other information to the agency at the different place for medical treatment in real time through the national settlement system, and the agency at the place of medical treatment will calculate the amount to be paid by the insured individual and various medical insurance funds according to local regulations, and send the calculation results back to the designated medical institutions at the place of medical treatment through the national settlement system for direct settlement between the designated medical institutions and the insured. The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.

At present, the medical insurance management information systems in all provinces and cities in China are independent and disconnected from each other. As a result, the insured people who seek medical treatment in different places in and outside the province can only settle accounts with medical institutions in different places in cash first, which leads to the insured people being tired of running between the medical treatment place and the insured place.

The procedure for using the medical insurance card in different places is as follows: (1) Fill in the medical record form for insured persons living abroad and in different places in designated medical institutions. (2) I apply in writing (briefly describe the reasons for living in different places for a long time). (3) Proof of long-term residence in a different place (copy of residence booklet, copy of temporary residence permit, and one of the certificates of long-term residence in the local police station or community neighborhood committee or work unit). If you are reimbursed for medical treatment in different places, you can follow the following steps: (1) First, you must get the referral certificate from the hospital at or above the county level. (2) Then go to the hospital social security window and stamp it. (3) Go to the local social security office for out-patient treatment registration. Generally, there are social security offices in towns. You can call 12333 for the address of the social security office. (4) After going out for treatment, bring invoices, medical records, social security cards and household registration books back to the county-level social security bureau for reimbursement.

Legal basis: Article 50 of the Medical Insurance Laws and Regulations is responsible for the payment and registration of basic medical insurance; Put forward suggestions on the budget and final accounts of the income of the basic medical insurance fund; Collecting basic medical insurance premiums according to law; To supervise, inspect and deal with the violations of the basic medical insurance premiums paid by the payment units and individuals.