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Can I buy medicine in different places with Shanghai Medical Insurance Card?
1, Shanghai medical insurance card is not allowed to buy drugs directly in pharmacies in different places. If you need to use a medical insurance card in a foreign country, you need to pay for it yourself in advance, and then wait until you return to your city, and you need to report it to the medical insurance center before you can reimburse it. For some foreign personnel who are hospitalized in different places, if they need to reimburse expenses, they need to pay attention to contact the local medical insurance center in time and collect proof materials according to the tips of the medical insurance center.
2. Temporary medical personnel: mainly refer to those who are referred to other places for medical treatment and those who need emergency medical treatment due to work, tourism and other reasons. It is impossible to buy medicine in a pharmacy in a different place. It just means that you can apply for reimbursement by swiping your card when you see a doctor in the hospital. If you want to buy medicine by credit card in different places, you need to transfer the medical insurance relationship.
3. If the medical relationship of urban insurance retirees in Shanghai is transferred to other provinces and cities, and during the period of enjoying urban insurance benefits, emergency and hospitalization medical expenses occur in local designated hospitals, they can bring relevant materials to the medical insurance affairs centers of various districts and counties in Shanghai for review and reimbursement within 6 months from the date of receipt issuance. The proportion of reimbursement benefits shall be implemented with reference to the provisions of Shanghai medical insurance benefits. I should bring my ID card, social security card or medical insurance card, original receipt of medical expenses, relevant medical history materials and copies (summary and copies of hospitalization needs, medical expenses list and copies) when reimbursing.
How many days after medical insurance payment, as follows:
1, for those who participate in basic medical insurance for the first time, the basic medical insurance benefits of the insured who pay the basic medical insurance premium to the local tax department will start from the month when the local tax department collects the medical insurance premium 1, and enjoy the medical insurance benefits according to the relevant provisions of the basic medical insurance;
2. For those who continue the basic medical insurance relationship, if the insured person is employed by a new employer and goes through the renewal procedures within the next month after going through the downsizing procedures with the employer, or continues the basic medical insurance relationship as an individual in the next month and pays the basic medical insurance premium from the month of renewal to the local tax authorities, the basic medical insurance benefits will not be interrupted; If the payment is interrupted, the basic medical insurance benefits will take effect on the month 1 day when the local tax department collects the basic medical insurance premium of the insured;
3. The employer shall be responsible for the medical expenses incurred by the insured from the date of employment by the employer to the effective date of the basic medical insurance payment. The employer shall be responsible for the medical expenses incurred by the insured before the supplementary payment takes effect.
To sum up, different medical insurance reimbursement regulations apply to medical insurance reimbursement, drug purchase, outpatient service and hospitalization. When purchasing medicine, the cardholder goes to the designated medical insurance institution to purchase medicine, and the expenses are paid in the personal account; Go to the outpatient clinic, keep the original diagnosis certificate, medical record, report and expense receipt, and submit them to the local social security agency for reimbursement; Save a certain amount of money when you are in hospital, and settle it according to the proportion of medical insurance reimbursement when you leave hospital.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Article 27
Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
Article 29
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.
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