Zhongshan medical insurance seeks medical treatment in different places

The medical record of Zhongshan medical insurance in different places means that when the insured person of Zhongshan medical insurance goes to a non-insured place for medical treatment, he needs to register with the medical insurance department of Zhongshan city in advance to enjoy the medical insurance benefits.

First, prepare relevant materials.

The materials to be prepared for the medical record of Zhongshan Medical Insurance in different places mainly include: valid identity certificate (such as ID card and passport), Zhongshan social security card or medical insurance card, and qualification certificate of medical institution in the place of medical treatment (such as hospital grade certificate and medical institution practice license, etc.). ), medical-related diagnosis certificates and medical records, etc. These materials are the basis for filing and must be prepared.

Second, fill in the filing application form

Insured persons need to go to the medical insurance department of Zhongshan City or the designated online platform to fill out the Application Form for Medical Treatment in Different Places in Zhongshan City. Personal basic information, information on the place of medical treatment, reasons for medical treatment, time of medical treatment, etc. It should be filled out in detail in the application form. When filling in, ensure that the information is true and accurate, and avoid the impact of information errors on the filing results.

Third, submit for review.

After the insured person fills in the filing application form, he will submit the relevant materials and application form to the medical insurance department of Zhongshan City for review. During the audit, the medical insurance department will check the authenticity and completeness of the materials to ensure that the insured personnel meet the conditions for medical treatment in different places. After examination and approval, the insured can enjoy the corresponding medical insurance benefits at the place of medical treatment.

It should be noted that the specific procedures and requirements of Zhongshan Medical Insurance for medical treatment in different places may be different due to different regions and policies. Therefore, the insured should know the policies and procedures of the local medical insurance department in advance before filing, so as to avoid unnecessary troubles.

To sum up, it is an important step for the insured to enjoy medical insurance benefits in different places. Need to prepare relevant materials, fill in the filing application form and submit it for review. Insured personnel should know the policies and processes of local medical insurance departments in advance to ensure the smooth filing process.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 30 provides that:

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.

Article 3 1 stipulates that:

According to the needs of management services, social insurance agencies can sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.

Medical institutions shall provide reasonable and necessary medical services for the insured.