Can Foshan social security be reimbursed in Guangzhou outpatient department?

Social security bought in Foshan can be reimbursed for medical treatment in Guangzhou. Matters needing attention in handling medical insurance reimbursement in different places:

1. Call the consultation telephone number of the new rural cooperative medical system before hospitalization or within 3 days after hospitalization to register for hospitalization.

2. After discharge, the residence certificate must be issued by the neighborhood office or neighborhood committee. Migrant workers need work certificates issued by their work units.

3. After discharge, submit copies of medical records, summary list, hospitalization bills, discharge certificate, patient ID card, cooperative medical certificate and proof of residence or work place to the participating places for reimbursement.

4. If you go directly to a hospital outside the province for chemotherapy from the participating place, you must go through the referral and transfer procedures before you can go to a different place for hospitalization.

5. The reimbursement rate outside the province is the lowest, and the general deductible line is around 2,000, and the reimbursement rate is 45% of the reasonable expenses. If you spend less, it is difficult to reimburse a few dollars. The lower the hospital level, the higher the reimbursement ratio.

If the insured person needs to be hospitalized in a medical institution outside the city due to illness, it shall be paid according to the following proportion:

(1) After being referred by the designated medical institutions at the municipal and district levels for the record, the expenses that are included in the payment scope of the overall fund shall be paid according to the proportion of the same type of designated medical institutions in the city.

(II) After the insured person is referred by the designated medical institutions at the municipal and district levels, if he needs to go to the designated medical institutions outside the city for follow-up hospitalization due to the same disease, the expenses included in the payment scope of the overall fund shall be paid according to the proportion of the same category of designated medical institutions in the city.

(3) If the insured person goes to a designated medical institution outside the city for hospitalization without this paragraph (1)(2), the expenses included in the payment scope of the overall fund shall be paid according to 60% of the payment proportion of the designated medical institutions of the same category in the city.

(4) If the insured person is hospitalized in a non-designated medical institution outside the city without going through the process of (1)(2) of this paragraph, the expenses included in the payment scope of the overall fund shall be paid at 30% of the payment ratio of the designated medical institution of the same category in the city.

4. If the insured is admitted to the hospital for emergency treatment in a medical institution outside the city, the social security agency to which the insured belongs shall put on record, and the expenses included in the payment scope of the overall fund shall be paid in proportion to the payment of the designated medical institutions of the same category in the city.

5. If the insured person suffers from malignant tumor surgery, cardio-cerebral disease surgery and liver, kidney and bone marrow transplantation surgery, and is hospitalized in a medical institution outside the city, the proportion of fund payment will not rise.

legal ground

Measures of Foshan Municipality on the Administration of Basic Medical Insurance

Article 35

(a) hospitalization Qifubiaozhun. The qifubiaozhun for the overall fund payment is: tertiary medical institution 1.200 yuan/time, secondary medical institution 600 yuan, and primary medical institution 300 yuan.

(2) The proportion of hospitalization payment.