Huangchuan county medical insurance reimbursement consultation telephone

Huangchuan county medical insurance reimbursement telephone number: 0376-3987606 (employee medical insurance); 0376-3 183009 (medical insurance for residents)

The telephone number, office address and job responsibilities of Huangchuan Social Medical Insurance Center are as follows:

Telephone number of urban and rural residents: 0376-3 183009.

Office address of urban and rural residents: west of the first floor of the Third Sanitation Health Committee of Huangchuan County

Telephone number of urban workers: 0376-3987606

Office address of employee medical insurance: Floor 2, Xiguan Agricultural Bank, Yuejin Road, Huangchuan County

Responsibilities of Huangchuan County Social Medical Insurance Center:

First, organize the implementation of national, provincial, municipal and county laws and policies on employee medical insurance, resident medical insurance and maternity insurance, and formulate, revise and improve the county-wide medical maternity insurance policies, regulations and work plans.

Two, determine the designated medical institutions and retail pharmacies for employee medical insurance and resident medical insurance, and conclude service agreements with them and supervise the implementation.

Three, the preparation of the county medical insurance, maternity insurance fund budget report.

Four, employee medical insurance, maternity insurance registration, payment base approved.

Five, in accordance with the provisions of raising and using the medical maternity insurance fund.

Six, responsible for the implementation of our county retired personnel and disabled revolutionary servicemen above B medical insurance business.

Seven, the implementation of medical maternity insurance fund audit rules, establish and improve the work system to prevent and conceal underpayment of medical maternity insurance premiums and false impersonator medical maternity insurance premiums.

Eight, under the unified management of the Municipal Human Resources and Social Security Bureau, to participate in medical insurance publicity activities; To guide the relevant business work of township and office medical insurance agencies.

Nine, complete other tasks assigned by the Municipal Human Resources and Social Security Bureau.

Social medical insurance settlement procedure

Special diseases

Designated medical institutions should report the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end settlement after examination. The medical insurance agency pre-allocated the hospitalization and outpatient expenses for special diseases last month.

Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately.

Emergency settlement

The medical expenses incurred by the insured due to emergency rescue to non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall handle the reimbursement procedures according to the provisions with the emergency hospitalization medical records, inspection, laboratory test sheets, invoices and detailed list of medical expenses.

Foreign personnel

1. The personnel resettled in different places shall be designated as the designated medical institution of 1-2 by the unit to which they belong, and shall be reported to the medical insurance agency for the record.

2. The medical expenses incurred by the off-site staff in the outpatient department of the designated medical institution where the disease occurs at the place of residence shall be paid in advance by themselves or their units. After the treatment, the unit shall settle the diagnosis and medical records, effective expense bills, compound prescriptions and hospitalization expense lists of the insured. Go to the social medical insurance agency on the specified date.

Referral and transfer

1. If the insured person is transferred to other medical institutions for diagnosis and treatment due to the conditions of designated medical institutions or specialized diseases, the approval form for referral and transfer shall be filled in. The reason for referral and transfer is put forward by the attending physician, the director of the department puts forward the opinion of referral and transfer, the medical institution medical insurance office reviews it, the dean in charge signs it, and it can be transferred only after being reported to the municipal medical insurance center for examination and approval.

2. In principle, referrals should be made outside the city, inside the province and outside the province. The city's referral regulations are carried out between designated medical institutions. The referral outside the city is proposed by the designated medical institutions above Grade III in this Municipality.

3. The medical expenses incurred after the insured person is referred to another hospital shall be paid by the individual or unit in cash. After the medical treatment, the insured person or his agent will submit the referral approval form, medical record certificate, prescription and valid documents to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of the overall fund payment.