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How to use Shenzhen medical insurance card in other places
1. The medical expenses of Class I insured persons in general outpatient clinics in different places belong to medical insurance coverage. The first-class insured person can pay with the balance of personal account, and the insufficient balance shall be borne by the insured person.
2. The second-and third-level insured persons are the second-and third-level insured persons of the basic medical insurance when they seek medical treatment in different places, but if they have participated in the first-level basic medical insurance before and the personal account still has a balance, they can pay the medical treatment expenses in different places according to the regulations. General outpatient medical expenses belong to medical insurance coverage, which can be deducted from the personal account balance, and the insufficient balance is paid by the insured. The medical expenses incurred by the two or three insured persons in the field who have no personal account for outpatient treatment shall not be reimbursed by medical insurance.
The new rural cooperative medical system shall be filed with the new rural cooperative medical system within three days after hospitalization, and can be reimbursed within 10 working days after discharge. Reimbursement should bring ID card, diagnosis certificate, household registration book, registration form, payment details stamped by the hospital, hospitalization documents, copies of cases and so on. However, the reimbursement rate is much lower than that of local medical treatment. Rural social security, that is, rural social insurance, including rural old-age insurance and rural medical insurance, is an old-age insurance policy that is guided by government organizations, adopts the system mode of combining social pooling with individual accounts, and adopts the financing mode of combining individual contributions, collective subsidies and government subsidies to protect farmers' basic livelihood in their later years.
Off-site reimbursement process:
1. Bring the patient ID card, two one-inch color photos and the new rural cooperative medical certificate to the county joint management office for referral and filing procedures.
2. Bring the patient ID card, the certificate of the new rural cooperative medical system and the referral filing procedures to the referral hospital for medical treatment, and go through the hospitalization procedures of the new rural cooperative medical system.
3, after discharge, with the patient's ID card (or household registration book), the new rural cooperative medical certificate, a copy of medical records, hospitalization statements (some in the form of invoices), hospitalization expenses list, referral filing procedures to the joint management office for reimbursement.
To sum up, after the Shenzhen medical insurance insured handles the referral or filing, the hospitalization expenses of the designated networked medical institutions outside Guangdong Province can be settled directly by credit card.
Legal basis:
People's Republic of China (PRC) (China) Basic Medical Care and Health Promotion Law
Article 84
The state establishes and improves the consultation and negotiation mechanism between the basic medical insurance agency and the designated medical and health institutions, scientifically and reasonably determines the payment standard and payment method of the basic medical insurance fund, guides the medical and health institutions to make rational diagnosis and treatment, promotes the orderly flow of patients, and improves the efficiency of the use of the basic medical insurance fund.
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