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What does it mean to record medical insurance in different places?
Insured persons hospitalized in different places, hospitalization expenses and other medical expenses within the scope of overall medical insurance protection, can directly use my medical insurance card in the hospital for reimbursement and settlement, or bring relevant information back to the insured place to the social security service center of the insured place for reimbursement.
Medical insurance filing in different places means that the insured person fills in the application form for medical treatment in different places with the social security card, and approves the filing in designated institutions and social units according to the principle of proximity. After filing, if you are hospitalized in a different hospital, you can swipe your social security card and settle the reimbursement in real time according to the proportion you should enjoy.
If there is no cross-provincial medical record in different places, then if the medical expenses within the scope of overall medical insurance coverage occur in different places, the proportion of reimbursement will be reduced, and even the deductible line for reimbursement will be raised in some areas.
To seek medical treatment in a different place, you need to go through the formalities of seeking medical treatment in a different place. After the examination and approval of the medical insurance department of the insured place, the medical expenses incurred in different places can be reimbursed, otherwise it is difficult to report. The medical insurance card cannot be used in different places, and it has to be reimbursed by the medical insurance center in the insured place.
How to reimburse for medical treatment in different places?
1. If you need temporary medical treatment in different places, you can contact the local administrative department with the diagnosis certificate of the hospital in different places, and the social security and medical insurance administrative department will give a reply according to the actual situation. With consent, temporary hospitalization can be carried out in designated medical institutions in different places. Then take the relevant expense documents back to the medical insurance location for reimbursement;
2. For those who cannot be treated locally due to illness or other reasons, they can apply to the social security department with the transfer certificate of local medical institutions, and can go to designated medical institutions in different places for treatment after approval. Go back to the local area for reimbursement after treatment;
3. Medical treatment and referral in some areas can be directly reimbursed, and friends in need can learn more about it.
The specific reimbursement process is as follows: filing (ID card, social security card, photos and other materials to the social security bureau)-selecting designated medical institutions (which can be inquired in the social security system)-obtaining medical cards (receiving social security cards for hospitalization, discharge and settlement).
To sum up, medical insurance filing in different places means that the insured person fills in the application form for medical treatment in different places with the social security card, and approves and registers in the social unit of the designated institution according to the principle of proximity. After filing, if you are hospitalized in a different hospital, you can swipe your social security card and settle the reimbursement in real time according to the proportion you should enjoy.
Legal basis:
Article 3 of the Regulations of People's Republic of China (PRC) Municipality on the Basic Medical Insurance for Urban Workers.
Establish the basic medical insurance fund for urban workers, and implement the system of combining individual medical accounts with basic medical co-ordination fund payment. The ownership of personal accounts belongs to individuals. The ownership of the overall fund belongs to all personnel participating in the basic medical insurance.
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