How to apply for a medical insurance card for medical treatment in different places?

1, the insured has gone through the inter-provincial medical registration and filing as required.

2. Hospitals seeking medical treatment in different places have opened direct settlement for medical treatment in different places across the country.

3. A social security card with complete information that can be used for medical treatment (including the new rural cooperative medical system and the medical insurance card for urban residents).

Who can handle medical insurance settlement in different places?

Four groups of people

1. Resident employees in different places: refers to employees assigned by the company to work in different places for a long time. It should be noted here that such people need to live in other places for a long time.

2. Resettlement of retirees in different places: refers to the household registration personnel who have settled in different places with their children and moved into the local area. One thing to note here: employees who have officially received medical insurance in different places apply for record in different places.

3. Long-term residents in different places: refers to those who live in different places for a long time and meet the conditions of the insured place. What needs to be reminded here is that such people need to go through the resettlement filing in the local medical insurance department, be hospitalized in the hospital that is included in the remote medical treatment settlement system, and can directly settle medical expenses with the new social security card.

Insured persons who meet the referral conditions of insured places: generally refer to patients who are hospitalized in different places, hospitalized in emergency, and referred to other hospitals. One thing to note here: it refers to patients who need to go abroad for medical treatment because of their illness and have already issued referral certificates in local hospitals.

How to complete medical insurance settlement in different places?

There are three steps to handle medical insurance settlement in different places: applying for inter-provincial medical records > selecting designated hospitals that support direct settlement of medical treatment in different places across the country > enrolling the insured with a card.

1. Apply for inter-provincial medical record.

Before the insured person goes to a different place for medical treatment, he needs to file with the agency in the insured place and provide the necessary information.

Bao Xiao would like to remind everyone that if you are a staff member living in a different place, a retiree resettled in a different place, or a person living in a different place for a long time, you need to bring the social security card of the insured, the ID card of the insured, and the registration form of basic medical insurance for medical treatment in a different place to the handling agency of the insured place for long-term filing; If the patient is transferred to a different place for medical treatment due to illness, he/she needs to bring the insured's ID card, the insured's social security card, and the Record Form for the Transfer of Basic Medical Insurance in Different Places issued by the local designated medical institution to the agency in the insured place to handle the transfer of medical treatment in different places.

2. Choose the designated hospitals that support the direct settlement of medical treatment in different places across the country.

If you choose a hospital, you can go to Ministry of Human Resources and Social Security's social insurance website to find out which hospitals in China can settle accounts directly in designated hospitals. Need to be reminded that at present, there are two ways to settle medical insurance in different places, one is direct settlement by credit card, and the other is advance payment before reimbursement. Under normal circumstances, you can choose two or three designated hospitals as filing hospitals if you choose first. However, if patients need to be transferred because of illness, they can only choose medical hospital registration.

3. The insurance card is registered for hospitalization.

After all the information and mobile phones are completed, they will be audited by the medical insurance agency in the insured area. However, after the audit is completed, the insured person's information will be uploaded to Hapi, the settlement platform for medical treatment in different places, and even if all the procedures for medical treatment in different places are completed, the insured person can be directly arranged for admission. Xiao Xin would like to remind you that you must bring your social security card when you seek medical treatment in other places. No social security card, no medical insurance, no reimbursement and settlement.

Legal basis:

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

Article 1 This Law is formulated in accordance with the Constitution for the purpose of adjusting the social insurance relationship, safeguarding citizens' legitimate rights and interests in participating in social insurance and enjoying social insurance benefits, enabling citizens to enjoy the fruits of development and promoting social harmony and stability.

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.

Article 3 The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.

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