Can medical insurance paid in different places be used locally?

Medical insurance paid in different places can be used locally.

In many cases, it is necessary to apply to the local social security bureau in advance to use the medical insurance card in different places. Although the current policy has allowed the transfer of medical insurance cards in different places, there is still a geographical gap in the use of medical insurance cards, and the use of medical insurance cards in different places is still limited. It can only be used across regions after approval. As for the specific operation process, it is suggested to consult the local social security center directly, or call 12333 for consultation and confirmation, subject to their reply.

How to use the medical insurance card:

1, first of all, the medical insurance card has three functions, one is to pay by credit card when visiting the clinic, the other is to buy medicine at the pharmacy, and the third is to show that there is medical insurance when staying in the hospital, and then the hospitalization expenses will be automatically deducted (excluding the self-funded part, 80% will be reimbursed);

2. The purchase ratio of medical insurance cards shall be borne by individuals and companies * * *, with 8% for companies and 2% for individuals;

3. Note that 2% of individuals enter the medical insurance card (personal account, which can be used to buy medicines at designated pharmacies, pay outpatient fees and pay hospitalization expenses), and most of the 8% paid by the company enters the social pooling account (the pooling account is managed by the medical insurance center, and the expenses incurred by the insured who meet the local medical insurance reimbursement are paid by the pooling account). If they are young people, only about 0.5% enter the medical insurance card.

4. Under normal circumstances, when you need to be hospitalized due to illness, you can go to your designated hospital with your medical insurance card and medical records, and settle with your medical insurance card. In other words, part of the payment is made at one's own expense (personal account), and part of the reimbursement is settled by the medical insurance center and the hospital (overall account).

5. If you transfer from a designated hospital to a secondary or tertiary hospital, you can use the medical insurance card for settlement, as shown above.

6. If the patient is critically ill, hospitalized in a designated hospital outside this hospital, or hospitalized due to rescue, or unable to show it on the spot due to unconsciousness, the insured/relative can go to the designated place (such as the medical insurance center) for rescue within X days, and can use the medical insurance card to settle accounts in the rescue hospital. Most of the situations are similar, but there may be some differences.

7, transferred to other places for treatment, with the consent of the hospital, medical center, for referral procedures. The expenses incurred in the field shall be settled by the individual at his own expense, and after the diagnosis and treatment, the community labor security workstation shall prepare the materials for reimbursement. Special diseases (cancer, uremia, organ transplantation) are recognized, and they will be settled by medical insurance card when they are hospitalized. The medical insurance card is still used when taking medicine out of the clinic, and the bills settled by individuals at their own expense will be reimbursed by the community labor security workstation this year.

8. During the period when the medical insurance card is lost or copied, it can be temporarily used as a medical insurance card with a good report of loss or a replacement receipt and valid identity documents;

9, medical insurance card as one of the vouchers to enjoy medical insurance benefits, kept by the insured, can only be used by myself, shall not be lent to others;

10, if the medical insurance card is lost, it must be reported to the designated unit in time;

1 1. When the money in the medical insurance card is used to buy medicine, it will be deducted from the medical insurance card. If the money in the card is not enough to pay, it needs to be deposited in the card, and the remaining money can be taken out directly without affecting others.

12. Not all medical care and medicines can be paid by medical insurance card, which depends on the local medical insurance catalogue. The purchased drugs and medical treatment items must be in the local medical insurance catalogue before they can be paid by medical insurance card. If the purchased drugs are not in the local medical insurance catalogue (that is, self-funded drugs and self-funded medical treatment items), they cannot be paid by medical insurance cards, and medical insurance cards can only be used in hospitals or pharmacies designated by local medical insurance centers.

13. Whether to enter the local medical insurance catalogue of drugs or medical treatment items can be inquired on the website of the local medical insurance center, or on the relevant bulletin board in the lobby of a larger regular non-profit hospital, or consult hospital personnel.

Legal basis:

Article 8 of the Detailed Rules for the Implementation of the Social Insurance Law of People's Republic of China (PRC): If the medical expenses incurred by the insured in the agreed medical institutions meet the standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities, they shall be paid from the basic medical insurance fund in accordance with state regulations.

If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.