Can medical insurance clinics in different places be reimbursed?

Medical insurance clinics in different places 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. According to the relevant laws and regulations, the part of the medical expenses of the insured who should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

Medical insurance outpatient reimbursement in different places need to provide the following formalities:

1, recommended certificate

If you want to use a medical insurance card for reimbursement when you go to a foreign country to see a doctor, you must first issue a referral certificate at the local hospital. This certificate needs to be in a slightly larger local hospital, at least above the county level;

2. The seal of the hospital

After the referral certificate is issued in a hospital at or above the county level, it needs to be stamped. This chapter is not only the chapter of the hospital, but also the chapter of the hospital social security window where the referral certificate is issued;

3. Register with the Social Security Bureau

After opening the referral certificate and the seal of the hospital, I went to the local instrument bureau to register with relevant information. This registration is mainly filed in the Social Security Bureau to facilitate reimbursement of medical insurance in different places in the future;

4. Hospital invoice

The reimbursement for medical treatment in different places is mainly hospitalization. Let the hospital make an invoice after seeing a doctor, and be sure to keep the invoice, which is the basis for reimbursement;

5. Reimbursement by Social Security Bureau

When you come back from illness, you should go to the local social security bureau for reimbursement, and bring relevant materials, including invoices, ID cards, household registration books, social security cards, etc.

6, outpatient reimbursement

Generally, it is more troublesome to reimburse hospitalization expenses in different places, but if it is outpatient expenses in different places, you don't have to bother. Just bring the invoice back to the Social Security Bureau for reimbursement.

The settlement of medical insurance in different places needs to meet the following three requirements:

1, the insured person has gone through the inter-provincial medical registration and filing as required;

2. Hospitals seeking medical treatment in different places have opened direct settlement for medical treatment in different places across the country;

3. You must have a social security card with complete information to see a doctor, including the new rural cooperative medical system and the medical insurance card for urban residents.

To sum up, outpatient visits in different places can be reimbursed. As long as the outpatient expenses of the insured reach the local outpatient reimbursement quota standard, they can be reimbursed in different places according to the proportion stipulated in the local reimbursement policy.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.

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.