Job Recruitment Website - Social security inquiry - Tianjin medical insurance card can be used in foreign countries
Tianjin medical insurance card can be used in foreign countries
Different medical insurance reimbursement process:
1, different medical insurance reimbursement medical insurance personal account medical expenses can be regularly in the medical insurance bureau for funds transfer procedures, the social security card account in the medical insurance funds transferred to your bank account, usually occur outpatient medical expenses by the individual out-of-pocket expenses;
2, different medical insurance reimbursement if the occurrence of hospitalization, you need to report the medical insurance bureau For the record, when discharged from the hospital with the hospital's diagnostic certificate, discharge summary, medication schedule, medical expense receipts, medical insurance to the medical insurance bureau for inpatient medical expense settlement, foreign medical insurance reimbursement if I can not come can also be entrusted to an agent to handle;
3, hospitals in foreign provinces if the local health insurance designated hospitals;
4, reimbursement rate of the threshold fee of more than to 3,000 yuan for 88%, 3,000-5,000 yuan for The reimbursement rate is 88% for the threshold fee up to RMB 3,000, 90% for RMB 3,000-5,000, 92% for RMB 5,000-10,000, and 95% for RMB 10,000 and above up to the maximum payment limit, of which 80% for Class B drugs, 70% for expensive drugs, and 70% for special examinations and special treatments. The medical insurance personal account medical expenses can be regularly in the medical insurance bureau for funds transfer procedures, the hospital in foreign provinces if the local medical insurance designated hospitals.
Materials needed for reimbursement of medical insurance:
1, IC card, basic medical insurance card (green with photo) or urban residents' basic medical handbook;
2, valid receipts (invoices);
3, summary list of hospitalization medical expenses, medical insurance referral letter, certificate of discharge;
4, hospitalization Materials: the first page of the hospitalization medical record, admission records, surgical records, discharge summary, large-scale examination report card, long-term medical advice list, temporary medical advice list copy (to be stamped with the seal of the attending medical institution).
In summary, the participants who participate in and enjoy the basic health insurance benefits, can go abroad for medical treatment, foreign medical needs to be filed first, in the place of medical treatment in the designated medical institutions can be settled by brushing the medical insurance.
Legal basis:
Article 29 of the Social Insurance Law of the People's Republic of China
The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization and the medical institutions and drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a system of settlement of medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance by insured persons.
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