Shenzhen medical insurance seeks medical treatment in different places

Materials to be provided for reimbursement of medical insurance in different places:

Transfer certificate issued by the hospital in this city;

With the transfer certificate issued by the hospital, go to the local and district social security office (medical insurance office) to handle the examination and approval for medical treatment in different places;

Original invoice for hospitalization in designated hospitals in different places;

Original list of machine taxi fees;

A valid copy of the inpatient medical record (stamped with a valid hospital seal) 1 copy;

Copy of ID card 1 copy.

Reimbursement procedures for overseas visits:

Carry 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;

Bring the patient ID card, certificate of the new rural cooperative medical system, referral filing procedures to the referral hospital for medical treatment, and go through the hospitalization procedures of the new rural cooperative medical system;

After discharge, patients submit their ID cards (or household registration books), new rural cooperative medical certificate, copies of medical records, hospitalization statements (some in the form of invoices), hospitalization expenses list and referral filing procedures to the joint management office for reimbursement.

Legal basis:

Provisions of Shenzhen Medical Insurance on reimbursement for medical treatment in different places 2019; The object of reimbursement for medical treatment in Shenzhen.

In Shenzhen, the hospitalization expenses of four types of medical people, such as resettlement and retirement, long-term residence in different places, permanent work in different places and referral in different places, can be directly reimbursed in different places.

Scope of reimbursement for medical treatment in Shenzhen medical insurance in different places

(1) reimbursement of hospitalization expenses

With the normal identity of the city's basic medical insurance one, two (children), three insured, off-site hospitalization basic medical expenses, local supplementary medical expenses, including self-treatment, referral, permanent residence in the mainland and other types of hospitalization.

(2) reimbursement of outpatient medical expenses

Including general outpatient reimbursement, outpatient annual overrun, outpatient special examination reimbursement, outpatient serious illness reimbursement and other types.

1. General reimbursement for outpatient service: first-class insured of basic medical insurance, insured with balance in personal account.

2. Out-of-year outpatient service exceeds the limit: the first-class insured of basic medical insurance has been insured for 12 months before seeing a doctor, which is in line with one of the situations of applying for permanent residence in the mainland or referral outside the city.

3. Reimbursement for special outpatient inspection: The insured person of Class I of basic medical insurance meets one of the situations of applying for permanent residence in the Mainland or referral outside the city.

4. Reimbursement for serious illness outpatient service: registered in Shenzhen for serious illness outpatient service, meeting the requirements of primary, secondary (children) and tertiary insured persons in basic medical insurance, and having permanent residence in the Mainland or referral outside the city.

Remarks: maternity insurance is not included in this business for the time being (Shenzhen maternity insurance reimburses medical expenses and enterprises enjoy maternity allowance). "