Guangdong medical insurance reimbursement in different places

Legal analysis: The "expressway" for direct settlement of medical expenses across provinces and different places has been completed, and the direct settlement system of medical expenses across provinces and different places for basic medical insurance has been fully launched and networked. 1, referral certificate of hospitals at or above the county level. Take the medical insurance in a small town as an example. If you want to go to a different place for medical treatment, you must first go to a hospital at or above the county level. Generally, there will be county-level hospitals in the town, allowing doctors to issue referral certificates; 2. Stamp the social security window of the hospital. The hospital social security window will generally be located at the toll gate, and the referral certificate will be taken to the window and stamped by the hospital social security personnel; Then, go to the local social security office to register for out-patient treatment; 3. You can be hospitalized in designated hospitals in other places. You only need to wait for the invoices, medical records, social security cards and household registration books provided by the hospital to reimburse the corresponding medical expenses to the county-level social security bureau.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), 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.