How to use medical insurance in different places in Suzhou

If the insured persons from different places need to directly swipe their cards for medical treatment in Suzhou, they need to register in different places in advance, and open designated medical institutions for medical treatment in different places in Suzhou with qualified social security cards (the inquiry method of medical institutions is "Jiangsu Medical Security Bureau" official website-medical insurance inquiry-inquiry of medical institutions in different places-inquiry of medical institutions in Jiangsu Province through inter-provincial medical networking, and "Suzhou City" is selected as "city"). Inter-provincial insured medical treatment in Suzhou is implemented in accordance with the "policy of insured places", so whether the insured can open outpatient/inpatient credit card settlement in Suzhou designated medical institutions for off-site network settlement needs to be consulted at the same time whether the insured places support inter-provincial outpatient/inpatient direct settlement. Please consult the medical (social) insurance agency in the insured area for the specific policy content and handling process.

Who can apply for medical treatment in different places?

1. Resettlement of retirees in different places: refers to those who have settled in different places after retirement and moved into their place of residence.

2. Long-term residents in different places: refers to people who live in different places and meet the requirements of the insured place.

3. Resident in different places: refers to the personnel who are sent by the employer to work in different places and meet the conditions of the insured place.

4. Referral personnel from different places: refers to those who have been diagnosed by hospitals at or above the county level with referral qualifications and cannot be diagnosed due to limited medical technology and equipment in this city, and need to be transferred to other hospitals for treatment. (Note: Referral filing procedures are valid for one year. )

5. Other temporary medical personnel who go out for medical treatment: other temporary medical personnel who do not belong to the above four categories (namely, retirees who are resettled in different places, long-term residents in different places, permanent residents in different places, and referral personnel in different places) and have not gone through the referral procedures according to the regulations of the insured places. (Note: The filing procedure is valid for one year. )

To sum up, if the insured in different places want to swipe their cards directly for medical treatment in Suzhou, they need to go through the registration formalities in different places in advance and open a designated medical institution in Suzhou with a qualified social security card.

Legal basis:

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

Article 25

The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.