How to handle medical treatment for retired workers in other places

Retired workers need to understand and follow the relevant policies and regulations of the national and local social security departments on medical treatment in other places. Generally speaking, you need to apply for the record of medical treatment in a different place, choose the medical insurance hospital in the place of medical treatment, and hold the social security card or other valid documents for medical settlement.

I. Understanding the policy of medical treatment in other places

Before retired workers seek medical treatment in other places, they should firstly understand the relevant policies and regulations of the national and local social security departments on medical treatment in other places, including the filing conditions, filing process, choice of medical treatment place, reimbursement ratio and other aspects. This information can be obtained through the local social security department's official website, telephone consultation or on-site consultation.

Second, applying for filing procedures for medical treatment in other places

Retired workers who meet the conditions for filing for medical treatment in other places need to apply for filing for medical treatment in other places to the social security department of the place where they are insured. When applying, you need to provide relevant supporting materials, such as ID cards, social security cards, retirement certificates and so on. After the filing application is approved, the retired worker will be given a filing number, which will be used to settle medical expenses in the place of medical treatment.

Three, choose the medical insurance designated hospitals

Retired workers should choose the medical insurance designated hospitals in the place of medical treatment. Before you go to the hospital, you can check the list of designated hospitals through the local social security department or the hospital's official website to make sure that the hospital you choose is in compliance with the regulations.

Fourth, holding a social security card or other valid documents for medical settlement

In the medical insurance designated hospitals for medical treatment, retired workers should hold a social security card or other valid documents for admission procedures. Upon completion of treatment, they should go to the hospital's settlement window with relevant certificates to settle the expenses. According to the policy, medical expenses eligible for reimbursement will be reimbursed at a certain percentage.

V. Precautions

1. When retired workers seek medical treatment in other places, they should make sure that the hospitals they choose are designated hospitals for medical insurance, or else they may not be able to enjoy the reimbursement treatment of medical insurance.

2. When seeking medical treatment in other places, they should keep the relevant vouchers and bills properly for subsequent reimbursement.

3. If you have any questions or encounter any difficulties, you can consult the local social security department or the staff of the hospital you are visiting.

In summary:

Retired workers need to follow the relevant regulations and policies of the national and local social security departments to handle the medical treatment in a different place. In the process, you should understand the policy of medical treatment in other places, go through the filing procedures, choose the designated hospitals for medical treatment, and settle the medical bills with valid documents. At the same time, pay attention to keep the relevant vouchers and bills properly for subsequent reimbursement.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 30 stipulates:

"The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund: (a) those that should be paid out of the Workers' Compensation Insurance Fund; (b) those that should be borne by a third party; (c) those that should be borne by the public * * * health; (d) those that should be borne by the public * * * health; (e) those that should be borne by the public * * * health. **health; (iv) medical treatment outside the country. If the medical expenses should be borne by a third person in accordance with the law, and the third person does not pay or the third person cannot be identified, the basic medical insurance fund shall pay in advance. After the basic medical insurance fund pays first, it has the right to recover from the third party."