Can Shanxi medical insurance card be used in different places?

Shanxi medical insurance card can be used in different places. Now the state is vigorously promoting the settlement of medical treatment in different places. In line with the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, cross-provincial use of medical insurance cards for direct settlement.

Medical insurance card is a special card for personal account of medical insurance, which takes personal ID card as the identification code and stores detailed information such as personal ID card number, name, gender, payment and account capital consumption. 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 medical insurance business office (hereinafter referred to as the medical insurance office) takes the personal ID card as the identification code. It stores and records personal ID number, name, gender, distribution and consumption of account funds and other detailed information. 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 medical insurance office (hereinafter referred to as the medical insurance office) will entrust the bank to transfer the personal account funds into the personal medical insurance card of the insured employees at the end of the month.

1, generally cannot be used across regions;

2, under special circumstances, travel, visiting relatives, vacation and other reasons in different places emergency hospitalization medical expenses, should be reimbursed in accordance with the specific provisions of the local medical insurance measures. Generally, in an emergency, the nearest diagnosis and treatment is allowed. After treatment, with the valid certificate issued by the treatment hospital, the local medical insurance agency will be reimbursed according to the regulations.

3. In addition, if you have retired and your children have settled in Beijing, you can apply to the medical insurance center of the insured area for the relocation of retirees. After you do it well, you can choose one or two designated hospitals in XX, pay the expenses yourself first, and then go back to the medical insurance center where you are insured for reimbursement.

4. For employees who have been overseas for a long time, they can also apply for medical insurance resettlement in different places, and the unit can apply. After the completion, they can choose one or two designated hospitals in XX, pay their own expenses, and then be reimbursed by the medical insurance center in the insured area.

Insured employees can swipe their cards on POS machines with passwords when purchasing medicines in designated hospitals and pharmacies, but they cannot withdraw cash or transfer money. That is, the scope of use of urban medical insurance cards is also applicable to the scope of use of rural medical insurance cards.

Legal basis:

Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law

The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.

First, cancel the record of using personal account funds in different places.

Insured employees can purchase medicines in general outpatient clinics and pharmacies of designated medical institutions in other areas outside the insured area, and can use personal account funds for direct settlement without filing for medical treatment in different places. The expenses incurred by the insured workers in hospitalization, outpatient service and outpatient service for patients with chronic diseases and special diseases in designated medical institutions in different places shall be borne by individuals, and can be directly settled and paid by individual account funds. Medical insurance agencies at all levels should do a good job in the information management of insured employees' insurance payment, and ensure that personal account funds can be used normally in the state of unit arrears or individual suspension of payment.

Two, expand the scope of designated medical institutions to provide services in different places.

Municipalities should include designated medical institutions with the demand for settlement of medical treatment in different places into the scope of direct settlement of medical treatment in different places. After the maintenance mark in this city's medical insurance system is designated medical institutions in different places in the province, other city's medical insurance systems automatically recognize each other, which can realize direct settlement of medical treatment in different places.

Third, promote the application of e-cert in medical insurance in different places.

Insured employees can use medical insurance electronic certificate as a medium for direct settlement in different places, which is convenient for medical treatment and drug purchase. Designated medical institutions should take the initiative to guide insured workers to use medical insurance electronic certificate, track and solve problems in time, and promote the transformation from "card settlement" to "code settlement" for medical treatment in different places.