Pharmacies for cross-location settlement in Beijing

Beijing cross-location settlement pharmacies are designated pharmacies outside Beijing where eligible Beijing insured persons can reimburse their medical expenses directly to their local social security bureaus through the cross-location settlement mechanism after seeking medical treatment and purchasing medicines.

Beijing's cross-location settlement pharmacies are set up for the convenience of Beijing's insured persons who seek medical treatment and purchase medicines outside Beijing. If the pharmacy meets the relevant qualification requirements, it first needs to be recognized by the Beijing Municipal Social Security Bureau and filed with the medical insurance settlement center. Beijing insured persons who seek medical treatment and purchase medicines at the pharmacy can apply for reimbursement of medical expenses from their local social security bureaus through the medical insurance settlement mechanism by submitting the relevant reimbursement documents. This eliminates the need to return to Beijing to seek medical treatment or purchase medicines before reimbursement. Currently, Beijing's cross-location settlement pharmacies cover 31 provinces and more than 150 cities. Insured persons can check the list of pharmacies for off-site settlement through the official website of Beijing Health Insurance, and consult with them to confirm whether they are on the list of pharmacies for off-site settlement before seeking medical treatment. It's worth noting that the different settlement pharmacies are only applicable to the participants of basic medical insurance and new rural cooperative medical care, not to the participants of urban residents' medical insurance.

What is the scope of reimbursement for off-site settlement pharmacies? The scope of reimbursement for off-site settlement pharmacies is basically the same as that of local designated pharmacies in Beijing, including medical outpatient services, hospitalization, special diseases, chronic disease management, and grassroots public **** health services. However, depending on the regulations of different pharmacies and different provinces, the specific scope of reimbursement may vary, and participants need to know and confirm in advance.

Beijing's off-site settlement pharmacies provide a more convenient way for Beijing's insured to seek medical treatment and purchase medicines, but they need to pay attention to the scope of off-site reimbursement and reimbursement standards to avoid problems. Participants can check the list of off-site settlement pharmacies and confirm the relevant information on the official website of the medical insurance.

Legal basis:

Article 29 of the Social Insurance Law of the People's Republic of China (PRC): The portion of a participant's medical expenses that should be paid for by the basic medical insurance fund shall be settled directly by the social insurance agency with the medical institutions and pharmaceutical business units. Social insurance administrative departments and health administrative departments shall establish the pin and foreign medical settlement system of medical expenses, to facilitate the insured to enjoy the basic medical insurance treatment.