Can Shenzhen social security be used in Dongguan hospital?

The social security card in Shenzhen cannot be used directly in hospitals in Dongguan.

If you seek medical treatment in a different place, you need to pay in cash first, and then apply for reimbursement at the place where social security is paid. There is no clear legal definition of medical treatment in different places. In social medical insurance coverage, "off-site" generally refers to other areas in China outside the insured's overall planning area, and "seeking medical treatment" refers to the insured's medical treatment behavior, which can be simply defined as the insured's medical treatment behavior outside its overall planning area. There are three main situations of "seeking medical treatment in different places". 1. One-time medical treatment in different places, including acute treatment during business trip and tourism, and patients actively transferring to other places for medical treatment, has the problem that medical expenses cannot be settled in time. 2. Short-and medium-term floating personnel whose work place is not in the insured place shall be treated in different places, including the personnel stationed in various places of the unit and the local employees of the accredited institutions. Another situation is that the whole unit is in a state of mobility, such as the medical care for employees in the construction industry, and the problems arising are either that they cannot participate in medical insurance or that they have to pay medical expenses in advance. 3. Medical care for retirees who have been resettled in different places for a long time. Including those whose registered permanent residence is moved from the place of work to the place of resettlement after retirement, and those who rely on their children to move in without registered permanent residence. On the surface, the problem is that the medical settlement is not timely and inconvenient, and the personal burden is heavy. In essence, the medical treatment in a safe place is often better than that in the insured place, and the resettlement personnel feel that the medical treatment is unequal.

Application procedure for medical treatment in different places

1. The insured can only seek medical treatment in designated medical institutions in different places after going through the confirmation procedures for medical treatment in different places. The amount of his personal medical account can be withdrawn through any business outlet of the medical insurance card, which is used to support the expenses of outpatient general diseases and the expenses of drug purchase and dispensing in pharmacies. When the insured is hospitalized, he can go to the local designated medical institution for specific items of hospitalization and outpatient treatment. Medical expenses shall be paid in advance by individuals, and within 1 month from the date of discharge, the insured unit shall apply for reimbursement to the municipal medical insurance center with the following information.

① A copy of the front and back of the medical insurance card.

② A copy of the confirmed application form for medical treatment in different places.

(3) The discharge or diagnosis certificate shows that the medical expenses belonging to specific outpatient items should be accompanied by a copy of the Special Application Form approved by the Municipal Medical Insurance Center, except for emergency observation.

④ Detailed list of medical expenses.

⑤ The official ticket for medical expenses shall be signed by the reimbursement person.

2. When the insured suffers from acute diseases during traveling, studying and visiting relatives in other places, he can go to the local public hospital for medical treatment. The outpatient medical expenses shall be borne by the insured, and the expenses incurred by the approved hospitalization shall be paid by the insured in cash. The unit manager shall apply for sporadic reimbursement to the municipal medical insurance center with the following information.

(1) Certificate of the insured unit.

(2) A copy of the medical insurance card.

③ Discharge or diagnosis certificate.

④ Detailed list of medical expenses.

⑤ The name of the reimbursement person is attached to the invoice for medical expenses.

⑥ Copy of inpatient medical records.

To sum up, the related management of social security card is carried out by the social security management department of our country. Because the property in each place is relatively independent, it is temporarily impossible to directly reimburse social security in the case of medical treatment in different places. However, in order to facilitate citizens to seek medical treatment in different places, the state also allows later medical insurance reimbursement. Specific procedures and necessary conditions can be consulted with the social security management department.

Legal basis:

People's Republic of China (PRC) social insurance law

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.

Article 28

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.