How to reimburse foreign medical insurance

There are two kinds of reimbursement for medical treatment in different places: one is that the hospital where the insurance is located has opened the procedure of transferring treatment, and the other is emergency treatment in different places. The proportion needs to be consulted with the local medical insurance department, which is usually not much different from the local medical care. You need to bring emergency certificate, copy of hospitalization medical records, discharge certificate, etc. (All the above need to be confirmed by the hospital) Go to the local hospital, and there are medical invoices, medicines and checklists. There may be some self-funded items that are no longer within the scope of reimbursement. For example, there are dozens of self-funded items in CT examination, which will definitely not be reported. The reimbursement method for medical insurance in different places: 1, which generally cannot be used across regions; 2, under special circumstances, travel, visiting relatives, vacation and other reasons in different places emergency hospitalization medical expenses, should be reimbursed in accordance with the specific provisions of the local medical insurance measures. Generally, in an emergency, the nearest diagnosis and treatment is allowed. After treatment, with the valid certificate issued by the treatment hospital, the local medical insurance agency will be reimbursed according to the regulations. 3. In addition, if you have retired and your children have settled in Beijing, you can go back to the medical insurance center where you are insured to handle the resettlement of retirees in different places. After doing it well, you can choose one or two designated hospitals for medical treatment, and the expenses will be paid by yourself, and then you can go back to the medical insurance center where you are insured for reimbursement. 4. For employees who have been overseas for a long time, they can also apply for medical insurance resettlement in different places, and the unit can apply. After the completion, they can choose one or two designated hospitals in XX, pay their own expenses, and then be reimbursed by the medical insurance center in the insured area.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Seventeenth individuals who participate in the basic old-age insurance, due to illness or non-work-related death, their survivors can receive funeral grants and pensions; Persons who have completely lost their ability to work due to illness or non-work-related disability before reaching the statutory retirement age can receive disability allowance. The required funds are paid from the basic old-age insurance fund. .

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Derivative problem:

What is the process of seeking medical treatment in different places in Beijing?

(1) Retired insured persons resettled in different places. Persons who have settled in different places and moved into household registration after retirement. For example, the retired educated youth who returned to their hometown lived in the workplace before retirement and now retired to their hometown. (2) Insured persons whose units are stationed abroad for a long time. Personnel sent by the employer to work in different places. For example, there are some foreign offices, and these employees work outside for a long time. (3) Insured persons who have lived or studied in other provinces and cities for a long time. Persons who live in different places and meet the conditions of the insured place. For example, Aunt Wang, an insured person in Beijing, lives in Tianjin with her children and helps the elderly with their children. (4) Insured persons who need to go to other places for medical treatment due to illness. Patients who need to go to other provinces for medical treatment because local medical institutions cannot diagnose or can diagnose, but the treatment level is limited.