Can medical insurance for chronic diseases in Feixi be transferred to Hefei?

Medical insurance can apply for transfer, but employees need to apply for transfer in the place where social security was originally paid, and then apply for transfer accumulation after paying social security in the place where social security was transferred. It is not directly related to whether the employee is sick or not. If you can't transfer to another hospital, you can apply for medical treatment in different places.

Social security transfer refers to the transfer of endowment insurance relationship between insured persons who are employed across provinces. The insured only needs to apply, and the rest of the work is handed over by the social security departments of the two places.

Social security transfer processing flow

(1) After the insured establishes the basic old-age insurance relationship in the new employment place and pays the fee, the employer shall pay it.

Submit a written application for the transfer of the basic old-age insurance relationship to the social security agency of the newly insured place.

(2) The social security agency of the newly insured place shall, within 15 working days, review the application for transfer and continuation, send an acceptance letter to the social security agency where the insured person's original basic old-age insurance relationship is located, and provide relevant information; Do not meet the transfer conditions, make a written explanation to the applicant or the insured.

(3) The social security agency where the original basic old-age insurance relationship is located shall handle all the transfer and connection procedures within 15 working days after receiving the acceptance letter.

(4) After the new insurance agency receives the basic old-age insurance relationship and funds transferred by the social security agency where the original basic old-age insurance relationship of the insured person is located, it shall complete the relevant procedures within 15 working days, and notify the employer or the insured person of the confirmation in time.

(5) Accumulated calculation of the payment period of the old-age insurance, and there is a gap in the middle, which can be supplemented or not.

There is no clear legal definition of medical treatment in different places. In social medical insurance coverage, "off-site" generally refers to other areas in China outside the insured's overall planning area, and "seeking medical treatment" refers to the insured's medical treatment behavior, which can be simply defined as the insured's medical treatment behavior outside its overall planning area.

Declaration procedure

1. The insured can only seek medical treatment in designated medical institutions in different places after going through the confirmation procedures for medical treatment in different places. The amount of his personal medical account can be withdrawn through any business outlet of the medical insurance card, which is used to support the expenses of outpatient general diseases and the expenses of drug purchase and dispensing in pharmacies. If the insured person is hospitalized (including outpatient specific treatment), he can go to the local designated medical institution for inpatient and outpatient specific treatment, and the medical expenses shall be paid in advance by the individual. Within 1 month from the date of discharge, the insured unit shall apply for reimbursement to the municipal medical insurance center with the following information;

1) copy of the front and back of the medical insurance card;

2) A copy of the confirmed application form for medical treatment in different places;

3) The discharge certificate or medical expenses of specific outpatient items must be accompanied by the diagnosis certificate of a copy of the Mente Application Form approved by the Municipal Medical Insurance Center (except for emergency observation);

4) Detailed list of medical expenses;

5) Official receipt of medical expenses (with the signature of the reimbursement person on the back);

2. When the insured goes to other places (excluding Hong Kong, Macao and Taiwan) for business trip, study or visiting relatives, he can go to the local public hospital for medical treatment, and the outpatient medical expenses shall be borne by the insured; The expenses incurred by the approved hospitalization (including emergency observation and treatment) shall be paid by the insured in cash, and the unit manager shall apply for sporadic reimbursement to the municipal medical insurance center with the following information:

1) certificate of the insured unit;

2) Copies of the front and back of the medical insurance card;

3) discharge or diagnosis certificate;

4) Detailed list of medical expenses;

5) Medical expense invoice (followed by the name of the reimburser);

6) copy of hospitalization medical records.