Job Recruitment Website - Social security inquiry - Can social security be reimbursed in different places?
Can social security be reimbursed in different places?
First, understand the social security reimbursement policy in different places
Social security policies may be different in different regions, so it is recommended to know the local social security reimbursement policies before seeking medical treatment in different places. You can consult the local social security department, hospital or relevant institutions to obtain detailed reimbursement policies, reimbursement ratio, reimbursement scope and other information.
Second, go through the formalities of medical treatment in different places.
Before seeking medical treatment in a different place, it is usually necessary to go through the formalities of seeking medical treatment in a different place at the social security department of the insured place. When filing, you need to provide personal ID card, social security card, proof documents of the hospital where you go to see a doctor and other related materials. After filing procedures, individuals who seek medical treatment in different places can enjoy social security reimbursement.
Third, choose qualified medical institutions.
To seek medical treatment in different places, you should choose a qualified medical institution. Usually, the social security department will stipulate some designated hospitals or cooperative hospitals, and only in these hospitals can you enjoy social security reimbursement. Therefore, before seeking medical treatment, it is recommended to know the list of medical institutions recognized by the local social security department.
Four, keep the relevant bills and documents.
In the process of medical treatment in different places, it is necessary to properly keep relevant medical bills, prescriptions, diagnosis certificates and other documents. These documents are necessary materials for social security reimbursement, and must be true, complete and clear.
Five, according to the prescribed procedures for reimbursement.
After the medical treatment, according to the procedures stipulated by the local social security department, submit the relevant bills and supporting materials to the social security department or the designated reimbursement institution of the insured place. The social security department will review the submitted materials and reimburse the eligible parts.
Matters needing attention about intransitive verbs
When handling social security reimbursement in different places, you need to pay attention to the following points:
1. Ensure that the personal social security account is in a normal state, and avoid being unable to enjoy reimbursement due to arrears or other reasons.
2. Understand and abide by local social security policies and regulations in advance to avoid reimbursement failure due to ignorance of policies.
3. In the process of seeking medical treatment, try to communicate with doctors and hospitals to ensure that the medical services and medicines received meet the requirements of social security reimbursement.
To sum up:
Social security can be reimbursed in different places, but it needs to meet certain conditions and operate according to prescribed procedures. Before seeking medical treatment in different places, it is necessary to understand the local social security policies and reimbursement procedures, go through the filing procedures for seeking medical treatment in different places, select qualified medical institutions, and properly keep relevant bills and supporting documents. After the medical treatment, go through the reimbursement procedures according to the prescribed procedures, and pay attention to abide by the relevant policies and regulations to ensure the smooth enjoyment of social security reimbursement.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 30 provides that:
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
This law defines the payment scope of the basic medical insurance fund, and stipulates that under certain circumstances, the basic medical insurance fund can pay medical expenses in advance and has the right to recover from third parties. Although this clause does not directly mention the reimbursement of social security in different places, it can be inferred that the medical expenses of medical treatment in different places can be included in the payment scope of the basic medical insurance fund if they meet the requirements.
People's Republic of China (PRC) social insurance law
Article 29 provides that:
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.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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