How to handle cross-city transfer procedures?

For the employees and retirees who have participated in medical insurance in different places through the employing unit, the employing unit shall go to11.01.065438 for medical information registration in different places at the time of enrollment or at 0: 00 to 30: 00 every year; Flexible employees are not allowed to go through the formalities of permanent medical treatment in different places, except retirees.

1. What is the specific process of handling medical insurance in different places?

To put on record, the referral personnel in different places must go through the referral procedures first, and then choose the medical institution for referral in different places. With the "referral confirmation form" and social security card, the medical insurance agency in the insured area shall handle the direct settlement and filing of medical treatment in different places. In addition to going to the medical insurance agency of the insured place for filing, you can also file it directly online.

Second, how to reimburse medical insurance for off-site surgery?

Medical insurance reimbursement process in different places:

First, seek medical treatment in different places.

There is no clear legal definition of 1' s medical treatment in different places. In social medical insurance, "off-site" generally refers to other areas in China outside the insured's overall planning area, while "seeking medical treatment" refers to the insured's medical treatment behavior, which can be simply defined as the insured's medical treatment behavior outside its overall planning area.

2, "medical treatment in different places" is generally divided into three situations:

(1) One-time medical treatment in different places, including acute treatment during business trip and tourism, and patients voluntarily transferring to other places for medical treatment, has the problem that medical expenses cannot be settled in time.

(2) Short-term and medium-term mobile medical care for people whose work place is not in the insured place, including the personnel stationed in various places of the unit and the local employees of the accredited institutions. Another situation is that the whole army is in a state of mobility.

(3) medical care for retirees who have been resettled in different places for a long time.

According to the current policy, hospitalization in places other than medical insurance can only be reimbursed in two cases.

The first is emergency treatment in different places.

Second, he was transferred to other places after seeking medical treatment locally.

In addition, in case of the above (3), medical insurance should be arranged in time, otherwise it will not be reimbursed.

3. In addition, in case of (3) above, medical insurance should be arranged in time, otherwise it will not be reimbursed.

Second, how to reimburse medical insurance in different places?

(1) Conditions for reimbursement of medical insurance in different places

(1)IC card, basic medical insurance card (green photo) or basic medical handbook for urban residents.

(2) Effective receipt voucher (invoice).

(3) Summary of hospitalization expenses, medical insurance referral letter and discharge certificate.

(4) Hospitalization materials: the first page of hospitalization medical records, admission records, operation records, discharge summary, large-scale inspection reports, long-term doctor's orders and temporary doctor's orders (sealed by the medical institution).

(B) Medical insurance reimbursement process in different places

(1) Discharge summary, invoice and medication list issued by different hospitals.

(2) My ID card, medical insurance card and medical certificate issued by the company (official seal of the company is required). If the company is not insured, it does not need a medical certificate issued by the company.

(3) The transfer certificate issued by the local hospital needs to be issued by the attending physician, and then signed by the director of the department where the attending physician is located, and then the transfer certificate is handled in the hospital medical insurance office.

(4) The reimbursement for medical treatment in different places is less 10% than that for medical treatment in local areas, and the absence of transfer certificate issued by local hospitals is 20% less.

(5) Bring the above information to the local medical insurance office, and you can get the money on the same day.

Third, medical insurance for medical treatment in different places.

(1) Different cities have different medical insurance policies, so you should pay attention to them before seeking medical treatment.

(2) Medical personnel in different places need to consult the local medical insurance management department to see if there are any preferential policies.

(3) It usually takes about one month to apply for approval in different places, so medical staff in different places should apply in advance, otherwise there is nowhere to reimburse the medical expenses in the "non-scheduling period".

Can I be reimbursed for visiting an outpatient clinic in a different place?

Off-site clinics can be reimbursed. Living in a different place for a long time meets the requirements of the insured place. Such people need to apply for resettlement and filing in the insured place, be hospitalized in a hospital that is included in the settlement system for medical treatment in different places, and directly settle medical expenses with their new social security card.

The reimbursement process of medical insurance in different places is as follows:

(a) to receive the "basic medical insurance certificate for people working and living in different places";

(two) according to the provisions of the foreign medical insurance agencies stamped "declaration form";

(three) the completed "declaration form" will be brought back to the social insurance agency responsible for the division of labor for examination and confirmation. If you need to apply for a medical card in different places in the province, you should register with the audit department of the Municipal Social Security Center on the basis of the "Declaration Form" after examination and confirmation, and then go to the social security card management department to handle the business card printing procedures of the card in different places in the province.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.