How to apply for social security card for medical treatment in different places?

The process of social security card medical treatment in different places is as follows:

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 social security window of the hospital will generally be located at the toll gate, and it will be handled by the referral certificate;

3. Go to the local social security office to register for out-patient treatment. There are social security offices in general towns. You can call 12333 for the address of the social security office.

4. After going out for treatment, get it back to the county-level social security bureau for reimbursement. If it's just an outpatient clinic, you don't need these procedures. Go outside to see a doctor first, and then report it to the Social Security Bureau.

Employee medical insurance reimbursement:

1, outpatient expenses reimbursement

After the medical insurance insured person goes to the designated medical institution for outpatient treatment, if he does not carry the medical insurance card, he needs to pay the relevant expenses first, and then bring the materials to the medical insurance center to reimburse the outpatient expenses. This part of reimbursement expenses is also deducted from the employee's personal medical insurance account funds. First, the medical insurance expenses paid this year are deducted, and then the reimbursement expenses are paid to the insured's personal medical insurance account;

However, with the popularization and implementation of the outpatient mutual aid system, the insured of employee social security can also use the overall fund for reimbursement according to a certain proportion, and the personal medical insurance account of the insured of employee medical insurance can be used together with his spouse, elders and children, and the funds in the personal account can be used together when registering and ensuring that his family members also pay basic medical insurance normally;

2, pharmacies to buy drugs

When purchasing medicines in chain retail pharmacies with medical insurance network, employees' medical insurance participants need to issue their own medical insurance cards, then tell the pharmacy staff their own diagnosis and treatment categories and the medicines they need, and pay by credit card according to the corresponding use process. If you buy medicine for others because of special circumstances, you need to show your identity certificate for the pharmacy staff to record;

It should be noted that only drugs that meet the medical insurance reimbursement catalogue can be paid by medical insurance card, and health care and beauty drugs cannot be paid by medical insurance card;

3, hospitalization reimbursement

When an employee's medical insurance insured person is hospitalized in a designated medical institution, he needs to pay a part of the deposit first, and the medical insurance card will be directly used for medical insurance reimbursement at the time of discharge settlement, and the deposit will be refunded. If you are hospitalized in a different place, you need to make a good record of medical insurance in different places or refer it to the hospital for record, so that you can use the medical insurance card for settlement and reimbursement in different places normally.

To sum up, medical insurance card reimbursement is actually medical insurance reimbursement or medical insurance category. Now the workflow is generally simplified everywhere. People who go to designated hospitals with medical insurance cards will generally be reimbursed at the same time when they settle accounts, and then the insufficient part will be paid by individuals.

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;

(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.