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Children's medical insurance is filed in different places
The filing process needs to follow certain regulations and procedures to ensure the accuracy and effectiveness of information.
I. Conditions for application in different places
Children's medical insurance in different places is usually suitable for the following situations: children need to be transferred to different medical institutions for medical treatment due to illness; Children live in different places with their parents or other guardians for a long time; Other circumstances that meet the requirements of medical treatment in different places.
Second, the filing application process
1. Prepare relevant materials: including children's medical insurance card, ID card or household registration book, guardian's ID card, and relevant certification materials of medical treatment place, etc.
2. Go to the social security agency of the insured place: hold the above materials to the social security agency of the insured place or the medical insurance window for filing application.
3. Fill in the filing application form: Fill in the filing application form as required, including the child's basic information, information on the place of medical treatment, reasons for medical treatment, etc.
4. Submission of materials for review: Submit the completed filing application form and related materials to the social security agency for review. After the approval, the social security agency will input the information into the system.
Third, the reimbursement process for medical treatment in different places.
After successful filing, children seeking medical treatment in different places can be reimbursed according to the following procedures:
1. See a doctor and keep relevant bills: When you go to a medical institution in a different place, you should keep all relevant bills and prescriptions for medical expenses.
2. Reimbursement back to the insured place: After the visit, bring medical bills, prescriptions, filing certificates and other materials back to the social security agency or medical insurance window of the insured place for reimbursement.
3. Waiting for reimbursement: the social security agency or the medical insurance window will review the reimbursement application, and the eligible expenses will be reimbursed according to the prescribed proportion. Reimbursement is generally paid by bank card or cash.
Fourth, matters needing attention
In the process of filing in different places and reimbursement for medical treatment, the following points should be noted:
1. Ensure the accuracy and completeness of the filing information, so as not to affect the reimbursement progress.
2. Comply with the relevant regulations and procedures of medical places to ensure the compliance of medical procedures.
3. Keep relevant bills and supporting materials properly for subsequent reimbursement.
To sum up:
Children's medical insurance is filed in different places to protect children's medical security rights when they seek medical treatment in different places. The application process needs to prepare relevant materials and apply according to the prescribed procedures. After the successful filing, the child can be reimbursed according to the prescribed procedures when seeking medical treatment in different places. In the process of application and reimbursement, we should pay attention to abide by relevant regulations and procedures to ensure the accuracy and compliance of information.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 30 provides that:
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(3) borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
Article 32 provides that:
If an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred accordingly, and the payment period will be calculated cumulatively.
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