Job Recruitment Website - Social security inquiry - Can foreign medical insurance be reimbursed in Shenyang?
Can foreign medical insurance be reimbursed in Shenyang?
Foreign medical insurance can be reimbursed for seeing a doctor in Shenyang. The insured needs to pay medical expenses in advance for medical treatment in different places. After the treatment, they should bring the necessary medical materials to the medical insurance center for reimbursement. The required materials include:
1. Original receipt of hospitalization medical expenses;
2. The original certificate of hospitalization disease diagnosis;
3. The original detailed summary list of hospitalization medical expenses;
4. A copy of the discharge summary or discharge record;
5. A copy of the admission record.
The expenses for reimbursement must conform to the scope and payment standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards. The part that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The reimbursement process of medical insurance in different provinces;
1. Handling medical records in different places: handling medical records in different places in the medical insurance center of the insured place or through the medical insurance service platform;
2. Choose a designated medical institution: choose a local medical insurance designated medical institution for medical treatment in different places;
3. Submit reimbursement materials: after the visit, prepare the corresponding reimbursement materials according to the local medical insurance policy;
4. Go through the reimbursement procedures: submit the reimbursement materials to the medical insurance institutions in different places or return to the medical insurance center in the insured place for reimbursement;
5. Waiting for reimbursement results: After the reimbursement application is approved, the reimbursement amount will be transferred to personal account or paid in other ways according to the specified proportion.
To sum up, foreign medical insurance participants need to pay their own medical expenses when they seek medical treatment in Shenyang, and submit relevant medical raw materials to the medical insurance center for reimbursement. Reimbursement expenses must conform to the drug list and diagnosis and treatment standards stipulated by medical insurance, and the social security agency directly settles the payable part of the medical insurance fund with the medical unit.
Legal basis:
People's Republic of China (PRC) social insurance law
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.
Regulations for the implementation of the social security law
Article 8
The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
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