What is the medical insurance referral process in Dongguan?

Dongguan medical insurance referral transfer process is as follows:

1. The attending doctor of the selected community health service institution puts forward referral opinions according to the insured person's condition, and fills in the Referral Notification Form. After the approval of the town (street) community health service institution, the insured person will go to the referral hospital with the "referral notice";

2. Register at the outpatient registration office of the referral medical institution, and present the referral notice, ID card or social security card, outpatient prescription, outpatient medical records, etc. After seeing a doctor, and handle settlement and reimbursement on the spot;

3, pay the individual pays part, get back the receipt of medical expenses.

The processing materials are as follows:

1, referral notice;

2. My ID card or social security card.

Referral needs to follow the following principles:

1, principle of patient voluntariness: proceeding from safeguarding patients' interests, fully respect patients' right to choose, be a good "staff officer" of patients, and make two-way referral on the premise of patients' voluntariness;

2. Principle of resource sharing: On the premise of ensuring safety; Try to make the examination results universal, reduce unnecessary repeated examinations and reduce the medical expenses of patients.

3. Seamless management principle: Establish effective, strict, practical and smooth referral channels, so that patients can get timely, sustained and comprehensive medical and health services.

To sum up, the insured who meet the referral conditions can directly go to the medical place for medical treatment with the second-generation social security card after issuing referral opinions in the local designated hospitals with referral and referral qualifications and registering for medical treatment in different places. At present, the provinces that refer for the record implement the policy of filing in the overall planning area, that is, patients choose their own designated hospitals in different places.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.