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Can Anyue social security report the cost of male prostate?
Settlement procedures for inpatient and outpatient treatment of 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 final accounts after examination;
The medical insurance agency pre-allocated the hospitalization and outpatient co-ordination 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 procedure: the medical expenses incurred by the insured in 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 go through the reimbursement procedures according to the provisions with the hospital emergency medical records, inspections, laboratory tests, invoices and detailed list of medical expenses.
Resettlement procedures for people resettled in different places:
For the resettlement of staff from different places, the designated medical institution with the residence of 1-2 shall be designated by the unit to which it belongs, and it shall be reported to the medical insurance agency for the record;
The medical expenses incurred by the off-site staff in the outpatient department of the designated medical institution in their place of residence shall be paid in advance by themselves or their units. After the treatment, the unit holding the insured's diagnosis and medical records, effective bills, compound prescriptions and hospitalization expenses list shall settle the accounts with the social medical insurance agency on the specified date.
Referral to hospital for treatment:
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, it is necessary to fill in the referral approval form. The reasons for referral and transfer are put forward by the attending physician, the director of the department puts forward the opinions of referral and transfer, the medical institution medical insurance office reviews, the dean in charge signs, and the referral can only be made after the approval of the municipal medical insurance center;
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;
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 end of 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.
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