How to file for medical treatment in a different place in Anhui Province

Anhui province within the province of foreign medical record, need to apply for the procedures are as follows:

1, county-level hospitals and above referral certificate. Take a small town health insurance, if you want to go to a different place for medical treatment, first to the county level and above, the general town will have a county hospital, let the doctor to open the referral certificate;

2, to the hospital social security window stamp. The hospital's social security window will usually be located in the charge gate that, take the referral certificate to the window for;

3, to the local social security to make a out of treatment registration. The general towns have social security offices;

4, out of the treatment and take back to the county social security bureau reimbursement. If it's just an outpatient visit, you don't need these procedures, just go out and see a doctor first, and then come back to the social security bureau for reimbursement after the visit.

The Anhui Provincial Health Insurance Bureau, in conjunction with the Anhui Provincial Department of Finance, issued the Notice on Further Improving the Work of Direct Settlement of Basic Medical Insurance Across Provinces and in Other Places, focusing on the record of the masses of insured people encountered in medical treatment across the country in a complicated procedure, more supporting materials, providing referrals to hospitals and outside the acute medical problems such as proof of difficulties and other difficult blocking pain points, unify the province's policy on direct settlement of cross-province medical treatment across the province to allow the masses to travel to the medical treatment It is more convenient, less troublesome and more convenient.

The direct settlement of cross-provincial medical treatment refers to the insured people in Anhui Province to go to a medical treatment outside the province, all the medical expenses within the scope of the policy of reimbursement of health insurance can be based on the electronic voucher of health insurance or social security card and other medical media in the medical treatment at a designated medical institution for the settlement of health insurance, and only need to pay for the part of the individual's responsibility. There is no need to pay the medical expenses in advance, and then take the invoice, hospitalization details and other materials back to the medical insurance agency in the place of insurance for manual reimbursement.

After the implementation of the Notice, it will bring changes in four aspects:

One is to change the original can not make up for the provisions of the record of medical treatment in other places. If the insured person has to make up for the record of medical treatment in a different place before being discharged from the hospital for settlement, it will be regarded as a valid record, and the insured person can enjoy the direct settlement service after making up for the record.

The second is the implementation of the "tolerance acceptance" and "commitment system". When filing the record of long-term residents in other places, if they are temporarily unable to provide the filing materials, they are allowed to file the record in the form of personal commitment; for the trauma medical expenses without third-party responsibility, after the insured person himself or the authorized delegate signs the personal commitment, they can also be included in the direct settlement of cross-provincial medical treatment in other places.

Thirdly, the validity period of the province's foreign medical record is unified. For people who live in a different place for a long time, a filing, long-term validity, and for people who go out temporarily to seek medical treatment, a filing, valid for 12 months.

Fourth, to support the cross-provincial long-term residents in the filing place and the insured place to enjoy two-way medical insurance treatment. When a person residing abroad for a long period of time in a different province settles the medical treatment in the place of filing, the starting standard, payment ratio and maximum payment limit of the medical insurance fund will be implemented in accordance with the standard of local medical treatment stipulated by the place of participation; if a person residing abroad for a long period of time in a different province goes back to the place of participation within the filing validity period to seek medical treatment, the standard of local medical treatment stipulated by the place of participation will still be implemented.

Legal Basis

The Social Insurance Law of the People's Republic of China

Article 7

The social insurance administrative department of the State Council is responsible for the administration of social insurance throughout the country, and other relevant departments of the State Council are responsible for the work of social insurance within their respective areas of responsibility.

The social insurance administrative departments of the local people's governments at or above the county level are responsible for the administration of social insurance in their respective administrative areas, and other relevant departments of the local people's governments at or above the county level are responsible for the relevant social insurance work within their respective areas of responsibility.