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Can Ningbo medical insurance be used in different places?
According to the national medical insurance policy, insured persons with medical insurance (social security card) can seek medical treatment in designated medical institutions with medical insurance, or in designated medical institutions with medical insurance across provinces and different places. Specifically, the insured in Ningbo can use medical insurance in all designated medical institutions in Ningbo; If you need to seek medical treatment outside Ningbo, you can choose to seek medical treatment in designated medical institutions with cross-provincial medical insurance. When seeking medical treatment in different places, you need to go to the local social security bureau in advance to go through the filing procedures for medical treatment in different places, obtain relevant filing vouchers, and then go to the designated medical institutions for medical insurance. After seeing a doctor, it will be settled directly by the medical hospital. At the time of settlement, you need to provide your valid certificate, social security card, filing certificate and other materials. It should be noted that when seeking medical treatment in different places, the reimbursement scope, proportion, standard and settlement method of the medical insurance fund are all implemented in accordance with the medical insurance policy of the place of medical treatment, which may be different from the local policy, so the insured personnel need to know the medical insurance policy of the place where they are located and the place where they seek medical treatment. Except Ningbo, medical insurance policies are slightly different across the country. In practice, the insured needs to understand the policies and procedures of medical treatment in different places according to their own situation and medical treatment needs.
The policies and procedures for medical treatment in different places are as follows:
1. Designated medical institutions for medical insurance: the insured can only use medical insurance in designated medical institutions for medical insurance, and other medical institutions do not accept medical insurance reimbursement. Medical institutions designated for medical insurance include public hospitals and community health service institutions, which can be inquired on the website of local social security bureau or health and wellness committee;
2. Filing for medical treatment in different places: Before seeking medical treatment in different places, the insured shall go through the formalities for filing for medical treatment in different places with the local social security bureau, and provide ID cards, social security cards and other related materials. The filing requirements may vary from place to place. Please refer to the local medical insurance policy for specific procedures and requirements.
3. Proportion and scope of medical insurance reimbursement: The proportion and scope of reimbursement stipulated by medical insurance policies in different regions may be different. For example, the medical insurance policy in some areas stipulates that certain drugs or inspection items are not covered by medical insurance reimbursement. Before seeking medical treatment in a different place, the insured should understand the medical insurance policy of the destination and avoid unnecessary expenses.
The medical insurance policy for medical treatment in different places is to realize the protection of medical treatment in different places through the overall arrangement of provincial health and health committees under the national legal framework.
To sum up, there may be differences in medical insurance policies between different regions, so when it is necessary to seek medical treatment in different places, the insured should know the policies and regulations of the destination in advance and go through the filing procedures in advance to ensure the smooth use of medical insurance.
Legal basis:
Article 29 of People's Republic of China (PRC) Social Insurance Law
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 30
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;
(three) shall be 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.
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