How to directly settle medical treatment in Luoyang?

How to directly settle medical treatment in Luoyang?

How to directly settle medical treatment in different places in Luoyang, and how to directly settle medical treatment in different places in Luoyang, the insured person needs to report for medical treatment in different places. After handling, you can leave the hospital immediately in the hospitals connected to the city and the whole country. How to directly settle the medical treatment in Luoyang?

Luoyang 1 How can the insured directly settle accounts for medical treatment in different places? Need to apply for medical treatment in advance.

Before the insured goes to a different place for medical treatment, they should go through the medical treatment procedures in different places and choose the designated medical institutions for referral. The insured person has gone through the registration formalities at the insured place, but the direct settlement business has not been opened between the co-ordination area where the insured person is located and Henan Province. The hospitalization medical expenses incurred by the insured person when he comes to Henan for medical treatment cannot be directly settled, and he still needs to pay in full according to the original method, and then return to the insured place for manual reimbursement according to the regulations.

The scope of payment is in accordance with the standards of Henan Province.

The payment standard is subject to the standard of the insured place.

The inpatient medical expenses directly settled by the insured in the designated medical institutions in Henan Province shall conform to the scope of payment of basic medical insurance in Henan Province, and implement the standards of drug list, diagnosis and treatment items and medical service facilities in Henan Province; Qifubiaozhun, payment ratio and maximum payment limit of medical insurance fund, etc. The reimbursement policy of the insured place should be implemented.

Discharge settlement only needs to "pay the bill" for the self-funded part

When the insured person is discharged from the hospital, the designated medical institution calculates the feedback results according to the system where the insured person is located, and settles the expenses that should be borne by the individual; The expenses paid by the medical insurance fund shall be audited and settled by the designated medical institutions at the municipal level.

Luoyang people who go to the province for medical treatment can also settle directly.

Insured persons in Luoyang can seek medical treatment in different provinces, or directly settle hospitalization expenses at local designated medical institutions.

There are many designated hospitals involved in medical treatment in different places, and the insured can log in to Ministry of Human Resources and Social Security "Social Insurance Online Inquiry System ()" to inquire about relevant information.

How to directly settle medical treatment in Luoyang in different places II? Off-site reimbursement process.

(a) to the social security bureau for the record.

Some cities require filing at the office of the Social Security Bureau, and some cities can directly file with the Social Security Bureau in official website.

Information to be provided for filing, including:

1. The reason for filing a case is that whether to go out for permanent residence, whether to work outside, and whether to be referred to hospital, we must tell the agency the reason;

2. Make the medical address clear.

After filling in this information, if you can find personal filing information in official website, the filing is successful.

(2) Select designated medical institutions.

What are the designated medical institutions that seek medical treatment in different provinces? You can find them on the website of the Social Security Bureau.

For example, I am a social security card in Beijing and plan to go to Shanghai for medical treatment. Then I will directly check the designated medical institutions that support cross-provincial medical treatment in Shanghai, and then choose which hospital I want to go to in Shanghai.

(3) Holding a card for medical treatment

After choosing a designated medical institution, remember to use the social security card for admission registration and discharge settlement.

There are only four special circumstances, which can be reimbursed for medical treatment in different regions of China with social security cards:

1, sudden illness during the trip requires hospital treatment.

2. Major diseases need to be referred to other provinces and cities for treatment.

3. Working abroad for a long time

4. After retirement, move the registered permanent residence to another place.

How to directly settle medical treatment in Luoyang? When the insured person in Luoyang seeks medical treatment in different places, he needs to go to Luoyang for medical treatment. Details are as follows:

The insured person in Luoyang can go to the window of Luoyang Citizen's Home for medical treatment in different places with the original and photocopy of ID card. After the relocation, it will take effect the next day.

After handling, you can be discharged from designated hospitals in the city and the whole country immediately (local hospitals need to be networked with Luoyang medical insurance department) and reimbursed according to the normal hospitalization ratio in Luoyang (the reimbursement ratio will not be reduced).

If you can't settle the account immediately in the local hospital, you can bring the original invoice, diagnosis certificate, summary list of expenses, copy of ID card and copy of bank card of each bank to Luoyang Citizen's Home window for reimbursement. It should be noted that if medical insurance is transferred back to Luoyang for local hospitalization, it will be reduced by 20%.

If the insured wants to seek medical treatment in a different place, he can go abroad for medical treatment and live in a different place. The insured should first seek medical treatment in the nearest designated medical institution at the grass-roots level, and if it needs to be referred and transferred to a medical institution at or above the municipal level outside the insured place, it should go through the procedures of referral and transfer, and enjoy medical insurance benefits in accordance with the regulations; In addition to the emergency, if the referral procedures are not handled according to the regulations, the proportion of reimbursement at the corresponding medical institution level will be reduced by 20 percentage points.

There are three cases of reimbursement in different places:

First, I have lived and worked in other places for a long time and paid medical insurance at the place where I registered.

Second, referral from other places, serious illness, limited local medical conditions, need to be transferred to a large foreign hospital.

Third, temporary medical treatment, short-term business trip or business trip, sudden illness requires emergency medical treatment.

These three situations, no matter which one, can be reimbursed as long as you pay medical insurance. However, it should be noted that medical treatment in different places must be filed!

There are three ways to put on record:

① I go to the medical insurance department of the insured place for filing: the insured person in Luoyang can consult and file at the citizens' home, and the insured person in the county can consult and file at the insured department.

② Call 12333 for filing.

③ Online filing: Luoyang Medical Insurance APP is currently being maintained and upgraded. After accessing the latest medical insurance system in July, you can also file online through Luoyang Medical Insurance APP.