How to reimburse medical insurance card for medical treatment in different places

Can be reimbursed, directly off-site, medical insurance reimbursement process is:

The first step: the insured person who has been filed carries his social security card, ID card, long-term residence certificate in different places, etc. And go through the formalities at the medical insurance agency in the insured place. At present, nine provinces, cities and provinces have unified online filing services, which is convenient for the insured to handle online.

Step 2: Choose a designated hospital and choose a designated place for filing. Only after seeing a doctor in a designated hospital can reimbursement be made.

Step 3: Patients with medical cards seek medical treatment in designated hospitals. As long as you keep a good record and bring a social security card for admission registration and discharge settlement, you can directly settle the medical expenses, without having to advance by yourself or running back and forth.

Off-site reimbursement can mainly be handled in the following ways:

1. According to the local medical insurance regulations, people who go to other places for medical treatment should first go through the registration procedures for medical treatment in other places at the medical insurance agency in the insured place, and the medical expenses incurred by medical treatment in other places should be paid in advance by themselves. After the medical treatment, you should go through the reimbursement procedures with the relevant bills to the medical insurance agency in the insured area.

2. If the medical insurance network settlement is realized between the insured place and the medical treatment place, the personnel who need medical treatment in different places can go through the medical treatment procedures in different places according to the relevant provisions of local medical insurance, and then go to the medical treatment place to brush the medical insurance card for medical treatment, and directly settle the medical expenses without paying the medical expenses in advance. This method has been realized in some provinces, and in some places, inter-provincial network settlement has been realized.

3. The insured place and the medical place where the insured person wants to go have established a cooperative relationship of medical insurance reimbursement, so that the insured person can directly entrust the medical insurance agency in the medical place to handle the medical expenses reimbursement in the medical place after the medical insurance agency in the insured place has gone through the relevant registration and filing procedures.

I. Procedures required for reimbursement of medical insurance in different places:

1. Medical expenses in medical insurance personal accounts reimbursed by medical insurance in different places can be transferred to your bank account at Zigui Medical Insurance Bureau on a regular basis. Usually, outpatient medical expenses will be paid by individuals themselves.

2. If you are hospitalized, the reimbursement of medical insurance in different places needs to be reported to the Zigui County Medical Insurance Bureau for the record. When I leave the hospital, I will go to Zigui County Medical Insurance Bureau to settle the hospitalization expenses with the hospital diagnosis certificate, discharge summary, medication list, medical expense receipt and medical guarantee. If I can't come, I can also entrust an agent to handle medical insurance reimbursement in different places.

3. Provincial hospitals should be designated hospitals for local medical insurance.

4. The reimbursement rate is 88% for the threshold fee of more than 3,000 yuan, 90% for 3,000-5,000 yuan, 92% for 5,000-10000 yuan, and 95% for the maximum payment limit of more than10000 yuan, including 80% for Class B drugs and 70% for precious drugs, and special inspection. Medical expenses of individual medical insurance accounts can be transferred to Zigui Medical Insurance Bureau regularly, and hospitals in other provinces should be designated hospitals for local medical insurance.

To sum up, medical insurance can also reimburse medical treatment in different places. The transfer of urban medical insurance to rural areas needs to be handled together with endowment insurance, and all materials should be prepared during the handling process. The minimum payment period for employees participating in basic medical insurance is 25 years. Unemployed workers do not need to pay medical insurance, and the medical insurance during the period of unemployment is paid by the unemployment insurance fund.

Legal basis:

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

Article 29

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.