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How to reimburse emergency medical insurance in different places?

The requirements are as follows:

1, and within 1 month after discharge, the applicant shall register with the medical insurance agency in the insured place with a copy of the household registration book and patient ID card;

2. Carry the appraisal opinions signed and stamped by the medical insurance department of the hospital, apply to the local medical insurance agency for reimbursement of medical expenses, and show the residents' medical insurance certificate, etc.

What is the reimbursement process of emergency hospitalization medical insurance in different places?

1, referral certificate of hospitals at or above the county level. Take the medical insurance in a small town as an example. If you want to go to a different place for medical treatment, you must first go to a hospital at or above the county level. Generally, there will be county-level hospitals in the town, allowing doctors to issue referral certificates;

2. Stamp the social security window of the hospital. The social security window of a hospital is usually located at the toll gate. Take the referral certificate to the window, and the staff there will naturally know how to help you.

3. Go to the local social security office to register for out-patient treatment. Generally, there is a social security office in the town, and you can know the address of the social security office. Because it is a branch, it may be in an inconspicuous place;

4. After going out for treatment, get it back to the county-level social security bureau for reimbursement. After completing the above three steps, you can go to a hospital in a big city. When you are cured, you can take the invoice, medical record book, social security card and household registration book to your superior social security bureau for reimbursement.

If it's just an outpatient clinic, you don't need these procedures. Go outside to see a doctor first, and then report it to the Social Security Bureau.

To sum up, as long as the insured person has gone through the relevant registration procedures in the medical insurance agency of the insured place, the medical expenses incurred can be directly entrusted to the medical insurance agency of the medical place for reimbursement. If you need to be hospitalized, you need to provide a local referral form.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

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.