Lingbao city Medical Insurance Center

When the patient is transferred to another hospital, it should be submitted to the attending doctor, who will report to the department director. After the director confirms that the patient really needs to be transferred to a higher-level medical institution for treatment, he will issue a transfer certificate, which will be sealed by the medical department of the hospital.

In addition, according to the staff of the Medical Insurance Department of the Municipal Social Insurance Administration, according to the medical insurance policy, if the insured person needs to be transferred to a foreign hospital for treatment, he must go through the relevant formalities with the social security institution with the "Transfer Certificate" issued by the medical institution. The processing voucher is: 1. Opinions on referral for diagnosis and treatment issued by designated hospitals. 2 "Application Form for Transfer of Basic Medical Insurance for Urban Employees".

To handle the referral certificate, you must first get the referral application form from the local medical insurance office, then ask the doctor to write the referral certificate in the designated hospital (generally, the director-level doctor in the hospital above the second level fills in the application form), and then stamp it in the medical education department! After the operation, bring the discharge certificate, copy of medical record, original invoice, expense list (these are all issued by the inpatient hospital), referral certificate and insurance documents to the medical insurance office for reimbursement.

Precautions:

1. Those who pay social medical insurance (employee medical care and resident medical care) for the first time need to postpone the medical insurance premium for six months to one year (different regions and different types of insurance have different regulations) in order to enjoy medical insurance benefits. In other words, your hospitalization time should be before the effective date of medical insurance, not when you go through the reimbursement procedures. (I have a friend's husband, but the operation time is only one month before the policy takes effect, and the result is not reported. )

2. If you live in a big city, you may have some trouble in issuing a referral certificate. You should avoid opening a hospital that performs surgery (such as scoliosis) and issuing a referral certificate.

Referral regulations:

1, comprehensive medical insurance, children's medical insurance: outpatient and inpatient services in the city do not need to be referred, but need to be referred to a higher-level hospital outside the city (the expenses shall be reimbursed by swiping the card at a designated hospital outside the city or by the social security department).

2. Hospitalization medical insurance: the outpatient department in the city needs referral, and the expenses will be reimbursed to the settlement hospital; There is no need for referral for hospitalization, and the city needs referral from a higher hospital.

3. Medical insurance for migrant workers: in-city and out-of-town clinics and hospitalizations, referrals to higher-level designated hospitals can be charged directly by credit card; Outpatient and emergency expenses are returned to the settlement hospital for reimbursement.

4, such as not referral or stop insurance, surrender, insurance, transfer settlement expenses incurred during hospitalization in the hospital, the use of social security departments for reimbursement.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.