Dongguan social security reimbursement process for medical treatment in different places

The reimbursement process of Dongguan social security for medical treatment in different places is as follows:

1, the transfer procedure is opened in the local hospital, and the referral form is signed by the attending doctor and stamped by the referral hospital. Some emergency cases can be referred within three days of going out for medical treatment;

2. Take the referral form to the local medical insurance bureau and stamp it, then you can go to the hospital for medical treatment;

3. Bring back the medical bills, medical records and official seals of the hospital after seeing a doctor;

4. Take medical expenses, ID cards, medical insurance cards, referral forms and medical records and keep them in the local medical insurance department for cash back. Generally, it is reimbursed back to the bank card, and the proportion of reimbursement for medical treatment outside the province will be less than that in the province;

5. Each region has its own requirements, and the reimbursement ratio is different, depending on the requirements of the local medical insurance department.

The conditions for medical insurance card to seek medical treatment in different places are as follows:

1, to participate in medical insurance as required;

2. It belongs to the enjoyment period of medical insurance benefits;

3, in accordance with the provisions of the medical expenses, such as medical expenses incurred in different places.

To sum up, the scope of reimbursement: the medical insurance catalogue of the medical treatment place shall prevail, and the expenses such as drugs, medical treatment items and service facilities in the catalogue can be included in the scope of medical insurance reimbursement.

Legal basis:

Article 17 of the Measures for the Administration of Social Security Cards of the People's Republic of China

Ministry of Human Resources and Social Security unified planning and deployment of social security card cross-regional applications, the implementation of cross-regional application access system. The Office of Ministry of Human Resources and Social Security Informatization Leading Group is specifically responsible for checking the consistency and safety of the card environment in various places, and granting access to those who pass the inspection.

Article 18

Social security cards should be mainly used in human resources and social security business fields. With the consent of the Provincial Department of Human Resources and Social Security and the approval of Ministry of Human Resources and Social Security, it can carry other public service functions under the premise of keeping the main functions, standards and norms unchanged, key systems unchanged and management subjects unchanged.