Job Recruitment Website - Social security inquiry - Where does Suzhou social security reimbursement go?
Where does Suzhou social security reimbursement go?
1. Eligible insured persons hold their medical insurance card, fill out the Application Form for Settlement of Medical Treatment in Different Places, and apply for settlement of medical treatment in different places to the social security agency in the insured place. 2. After the insured goes through the registration formalities, the medical expenses incurred in the designated medical institution at the place of residence shall be settled in cash first, and then the above application form, resident ID card, original invoice, medical record, detailed list of expenses and other materials shall be presented to the social security agency at the place of medical treatment for settlement and reimbursement. 3. The social security agency in the medical co-ordination area will review the medical expenses according to the drug list and diagnosis and treatment services in the co-ordination area, determine the expenses that meet the requirements of medical insurance settlement, and calculate and determine the reimbursable amount according to the provisions of medical insurance treatment settlement for employees in the insured area through the "Suzhou settlement platform for medical treatment in different places" and pay it directly to the insured. Three. Precautions 1. After the insured person goes through the registration formalities for settlement of medical treatment in different places, the social security agency of the insured place will no longer accept the reimbursement of medical expenses; For enterprise retirees among them, the payment of personal accounts of medical insurance will be stopped from the following year. 2. The insured shall go to the social security agency of the medical place to handle the reimbursement procedures for medical expenses in different places within the settlement year specified by the social security agency of the insured place; Cross-settlement year, medical expenses shall be treated as expenses incurred in the settlement year, and the settlement and payment procedures shall be handled in accordance with the provisions on settlement and payment of medical insurance for employees in the insured area in that year. 3. If the insured person needs to cancel the settlement of medical treatment in different places, or needs to change the place of medical treatment because the registered permanent residence moves into other overall planning areas of this Municipality, he shall apply to the social security agency of the insured place for canceling the settlement of medical treatment in different places or changing the application procedures. After the insured cancels the settlement of medical treatment in different places, it shall be implemented according to the provisions of medical insurance for going abroad for medical treatment; If you live in the insured place, you must also go through the cancellation procedures for going out for medical treatment. 4. Due to various reasons, the medical insurance status of the insured employees is interrupted or the relationship is terminated, and the medical insurance benefits of the employees are suspended or stopped, and the settlement of medical treatment in different places is suspended or stopped accordingly. 5. If the insured person needs to be transferred, he can directly go through the transfer registration formalities at the social security agency in his place of residence. The insured person who meets the conditions of hospitalization expenses or emergency medical expenses transfer payment shall be audited and paid by the social security agency at the place of residence. 6. If the insured person needs to apply for a specific outpatient service, he/she shall go through the registration confirmation formalities with the social security agency of the insured place with the relevant diagnosis certificate and his/her medical card, and cancel the settlement of medical treatment in different places. 7. If the insured person is the object of real-time medical assistance, and has completed the declaration and registration procedures of assistance qualification in the social security agency of the insured place, the real-time medical assistance treatment can be settled in different places together with the medical insurance treatment.
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