Social Security Card Designated Outpatient Clinic Inquiry

The social security department designates a social insurance designated community health service organization as the outpatient medical care point (i.e. designated outpatient medical care point) for participants within the jurisdiction of the village (neighborhood) committee according to the principle of territoriality; if there is no designated community health service organization in the territory, the adjacent designated community health service organization will be designated as the temporary designated outpatient medical care point. If the place of residence of an insured person who is a household member of the city is not in the same village (neighborhood) committee as the location of the designated outpatient clinic, the insured person can apply for a change to the designated community health service center of the town (street), and upon approval, his/her outpatient clinic can be changed to the designated outpatient clinic of his/her place of residence in the same town (street). In case of relocation of the employer, change of work unit of the insured, relocation of the household registration of the insured or change of the place of residence of the insured with household registration in the city, the outpatient medical treatment point of the insured can be changed according to the regulations, and the change will be effective from the following month. Warm reminder: from October 1, 2008, Dongguan City, the basic social health insurance community outpatient medical protection is officially implemented. Participants should go through the procedures of consultation and reimbursement in accordance with the relevant regulations for outpatient medical care. The outpatient medical insurance, which protects the basic outpatient medical care of the insured, is implemented in the form of selecting a designated outpatient medical point for fixed-point medical care. In order to protect the medical rights and interests of the insured, please be sure to follow the regulations for medical treatment. Procedures for medical treatment and reimbursement of medical fees at designated outpatient clinics Participants who seek medical treatment at designated outpatient clinics due to illnesses can apply for reimbursement on site after medical treatment, and do not need to go to the social security department for reimbursement. 1. How to apply for registration for outpatient medical treatment? The insured person can go to the registration desk of the designated outpatient medical center with his/her social security card and ID card (or ID card if he/she has not been issued a social security card, or his/her own social security card if he/she is under the age of 18 years old) to register for a medical treatment. 2. Is the use of self-financed items subject to confirmation by the insured person? When the attending doctor provides outpatient medical services to the insured person, he/she must obtain confirmation from the insured person or his/her family members when he/she uses self-paid or partially self-paid medicines, materials, examinations and treatments due to the condition of the insured person. 3. How do I apply for reimbursement of outpatient medical fees? The participant shall take his/her social security card, ID card, and outpatient prescription to apply for reimbursement on-site at the fee collection counter of the designated outpatient clinic. 4. What are the rules for reimbursement of outpatient medical fees? The medical expenses incurred by the insured person in outpatient medical treatment shall be handled in accordance with the following provisions: ① Use the medicines within the scope of outpatient medication for community health services of the city's basic social medical insurance (hereinafter referred to as the scope of outpatient medication for community health services), and keep a strict control on the dosage of the medicines. Acute outpatient generally no more than three days, chronic diseases generally no more than seven days, specific outpatient generally no more than one month, of which no more than one day amount of intravenous drugs; ② the use of "Dongguan basic medical insurance for employees diagnostic and treatment items, medical services and facilities and the scope of payment" (hereinafter referred to as the scope of diagnostic and treatment items and medical services) within the diagnostic and treatment items or medical materials, a single item or medical material. For the use of diagnostic and treatment items or medical materials within the scope of "Dongguan Employees' Basic Medical Insurance Scope of Diagnostic and Treatment Items and Medical Service Facilities and Payment Scope" (hereinafter referred to as the scope of diagnostic and treatment items and medical service facilities), the portion of the single item cost of less than 120 yuan (including 120 yuan, the same hereinafter) shall be paid by the integrated fund in accordance with the regulations. The expenses incurred in excess of the above provisions or the use of medicines and diagnostic and therapeutic items outside the scope of medicines and medical service facilities in the community outpatient clinics shall be paid by the participants.

Extended reading: insurance how to buy, which is good, hand to teach you to avoid the insurance of these "pits"