Shanxi medical insurance off-site filing process

Select "Business Handling" in the service hall of Shanxi Medical Insurance homepage to enter the module of "Self-service Filing for Medical Treatment in Different Places", click "Filing on behalf of others", select the identity and location of the insured, and then enter the next step after confirmation. Read the "Notes for Filing" and follow the prompts to enter the next step.

Application process for medical treatment in different places in Shanxi;

1. The undertaker of the unit must apply for the "social security card" of the applicant before handling the registration of medical treatment in different places;

2. The Registration Form for Medical Treatment in Different Places in Shanxi Province or the Registration Form for Medical Treatment in Different Places in Shanxi Province submitted by the organizer;

3. For direct settlement of medical treatment in different places, one or three hospitals must be selected to connect with the database of Shanxi Information System. If I don't choose a hospital when I fill out the Registration Form for Medical Treatment in Different Places in Shanxi Province, I will handle it according to the first designated hospital by default in the filing system.

4, retired cadres in different places in the retired department for medical records.

Insured persons who live in different provinces for a long time or temporarily go out for medical treatment can enjoy the direct settlement service for medical treatment in different places after filing medical treatment in different places. Inter-provincial permanent residents include retirees resettled in different places, permanent residents in different places, permanent residents in different places and other people who have worked, lived and lived outside the insured provinces, autonomous regions and municipalities (hereinafter referred to as provinces) for a long time. Inter-provincial temporary medical personnel include those who have been referred for medical treatment in different places, emergency personnel in different places due to work, tourism and other reasons, and other inter-provincial temporary medical personnel. Before the insured person goes to a different place for medical treatment, it can be handled online and offline through the national medical insurance service platform APP, the national remote medical treatment filing applet, the the State Council client applet or the window of the insurance agency. When the insured person applies for medical treatment in different places, he can directly file with the city or municipality directly under the Central Government where he is seeking medical treatment, and enjoy the inter-provincial direct settlement service of hospitalization expenses for all inter-provincial networked designated medical institutions opened at the filing place. When seeking medical treatment in the outpatient department, according to the regulations of the insured for medical treatment in different places, the designated medical institutions connected across provinces can be selected for medical treatment and drug purchase. Insured agencies should conscientiously publicize and interpret the inter-provincial settlement policy for medical treatment in different places, simplify the handling procedures, shorten the handling time limit, and support eligible insured personnel to re-submit the filing procedures for medical treatment in different places.

When the insured person applies for medical treatment in different places, he can directly file with the city or municipality directly under the Central Government where he is seeking medical treatment, and enjoy the inter-provincial direct settlement service of hospitalization expenses for all inter-provincial networked designated medical institutions opened at the filing place. When seeking medical treatment in the outpatient department, according to the regulations of the insured for medical treatment in different places, the designated medical institutions connected across provinces can be selected for medical treatment and drug purchase.

Insured persons should seek medical treatment in an orderly manner in accordance with the relevant provisions of graded diagnosis and treatment. If it is really necessary to seek medical treatment across provinces due to illness, it can be referred to medical institutions outside the province through designated medical institutions designated by the insured place. Designated medical institutions should formulate a reasonable diagnosis and treatment plan according to the patient's condition. When referral is needed, different forms of referral can be arranged, and hospitalization in the local area is not a prerequisite for issuing a referral certificate.

If the insured person really needs to continue treatment or seek medical treatment in different places because of the same disease, the handling institution of the insured place should simplify the filing procedures for medical treatment in different places, so as to facilitate the insured person to enjoy the direct settlement service for medical treatment in different provinces. Emergency rescue personnel in different places are deemed to have been put on record. Insured persons who seek medical treatment in different provinces should take the initiative to show their insured status in designated medical institutions networked across provinces, and produce valid certificates such as medical insurance electronic certificate or social security card. If the insured goes through the medical record in different places before the inter-provincial discharge settlement, the designated medical institution connected with the medical place shall handle the inter-provincial direct settlement of medical expenses for the insured. Insured persons who go abroad for medical treatment at their own expense may apply for manual reimbursement of medical insurance according to the provisions of the insured place after discharge.

Legal basis:

"Regulations on the basic medical insurance for urban workers in People's Republic of China (PRC)" Article 11 The amount of basic medical insurance premiums that employers and employees should pay shall be reported to the tax collection authorities by the employer on a monthly basis and approved by the tax collection authorities. For medical insurance in different places, you can fill in the medical record form for insured persons living abroad and in different places in designated medical institutions. Pay attention to the object of settlement in different places and the materials to be submitted when reporting hospitalization expenses when filling in. Then, submit a written application explaining the reasons for resettlement, working in a different place, relying on immediate family members and studying in a different place. Finally, provide proof of long-term residence in different places, such as a copy of the household registration book, a copy of the temporary residence permit, and one of the proof of long-term residence in the local police station or community neighborhood Committee or work unit.