Guangzhou medical insurance record of medical treatment in other places

Guangzhou medical insurance filing process is as follows:

1, the insured person with a social security card in the insured social security center to fill out the application form for medical treatment in a different place, for registration;

2, the approval of the record, in accordance with the principle of proximity, in accordance with the local fixed 1-3 medical institutions, the period of time is generally one year to determine the fixed institutions of the social security unit for approval, the filing is complete;

3, verification of application materials and make an acceptance decision on the spot;

4, if the materials are complete, format and form of legal form, to be accepted. p>

3, verification of application materials, on the spot to make a decision on acceptance;

4, if the materials are complete, format specifications, in line with the statutory form, to be accepted;

5, does not meet the requirements but can be corrected on the spot, returned to the spot corrected to be accepted;

6, not through, inform the reasons.

Medicare's policy on medical treatment in other places:

1. Classification of medical treatment in other places: according to the relationship between the place of medical treatment and the place of insurance, medical treatment in other places is divided into inter-provincial medical treatment in other places and intra-provincial medical treatment in other places;

2. Filing procedure: the insured person needs to file a record in the health insurance department of the place of insurance according to the regulations to be qualified for medical treatment in other places;

3. Settlement method: The settlement of expenses for medical treatment in a different place can be directly settled or reimbursed after self-payment, depending on the health insurance policy of the place of participation and medical treatment;

4. Reimbursement ratio: the reimbursement ratio of medical treatment in a different place may be lower than that of local medical treatment, and there may be a difference between the ceiling line and the starting line;

5. Designated medical institutions: when the insured person consults the medical treatment in a different place, he/she needs to choose the designated medical institution of his/her local area for treatment so as to facilitate the medical treatment of his/her family. The medical institutions for treatment, in order to facilitate the reimbursement of medical insurance;

6, the scope of diseases: some regions have restrictions on the types of diseases for medical treatment in other places, in general, emergency and chronic diseases can be reimbursed for medical treatment in other places.

In summary, the Guangzhou health insurance filing process includes: the insured person in the social security center to fill out the application form and registration, approval of the filing and select 1-3 nearest medical institutions, verify the materials and instantly decide whether or not to accept the materials to meet the requirements to be accepted, do not meet the requirements but can be amended return to modify, not through the clear reasons to inform the whole process to ensure that the insured person to the medical treatment The whole process to ensure that the rights and interests of the participants in the medical treatment in a different place.

Legal basis:

"Rules for the Implementation of the Social Insurance Law of the People's Republic of China"

Article 8

The medical expenses incurred by the insured in the agreement medical institutions, in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, medical services and facilities standards, in accordance with national regulations from the basic medical insurance fund. Participants in need of emergency treatment, rescue, can be in a non-agreement medical institutions; rescue must be used for the drugs can be appropriately relaxed scope. Participants in the emergency, rescue medical services specific management by the coordinating region according to the actual situation in the local development.