How to reimburse medical insurance for surgery in different places?

Hospitalization in different places can be reimbursed at the local medical insurance bureau. Medical insurance is territorial governance. In principle, it is the location of the insured and enjoys the treatment of the location of medical insurance. If the insured person needs medical treatment in a different place, he can open a referral hospital in the medical institution of the insured place for confirmation, or go through the formalities of medical treatment in a different place in the social security bureau of the insured place.

You can go to a different place for medical treatment, pay cash first, and then hand in your ID card, residence booklet, social security card, transfer certificate or go to a doctor to prove that you are in a different place, and pay the fee to prove that the social security bureau of the insured place will reimburse the medical expenses. Did not apply for hospitalization confirmation or medical treatment procedures in different places, the insured social security bureau does not report medical expenses.

How is the medical insurance in different places reimbursed?

1, medical treatment in different places requires approval procedures, otherwise it will be difficult to reimburse.

2. When the insured falls ill while traveling, studying or visiting relatives in other places, he can go to the local public hospital for medical treatment. After hospitalization, they will send the admission diagnosis and illness profile to the medical insurance center for filing and approval; The expenses incurred by the approved hospitalization (including emergency observation and treatment) shall be paid by me in cash. After discharge, the employer shall apply for reimbursement to the municipal medical insurance center with all hospitalization materials.

Before or within 3 days after hospitalization, call the consultation telephone number of the new rural cooperative medical system in your hometown to register the hospitalization situation;

After discharge, the residence certificate must be issued by the neighborhood office or neighborhood Committee of the place of residence. If you work outside, you need a work certificate issued by your work unit;

After discharge, take the copy of medical records, summary list, hospitalization documents, discharge certificate, and then take the patient ID card, cooperative medical certificate, residence or work certificate back to the participating place for reimbursement.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

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 when they are old, sick, injured, unemployed and have children.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.