How to handle the filing process of medical insurance in different places

Medical insurance in different places means that the insured person fills in the application form for medical treatment in different places with the help of social security card to register. In accordance with the principle of proximity, it shall be approved and filed in designated institutions and social units. If you are hospitalized in a different hospital after filing, you can swipe your social security card and reimburse medical insurance according to the prescribed proportion.

Four types of off-site medical records:

1, where the insured person goes to see a doctor;

2. Medical treatment in different places in the province;

3. Cross-provincial medical treatment in different places;

4. On the basis of Type III, people go to other provinces for medical treatment.

Medical insurance in different places can be handled in the following two ways:

1, medical insurance filing in different places in the province: medical treatment in different places in the province does not need to be filed, but can be settled directly in the hospital;

2. Inter-provincial medical insurance registration agencies carry registration forms, identity certificates and other materials to the insured agencies for the record. According to relevant regulations, offline filing procedures are not as cumbersome as before.

The problem of medical treatment in different places has a long history. The reason is that the beneficiary of medical service and the payer of medical expenses are not the same subject, and the place where the insured person lives and the place where medical expenses occur are not the same area. In the era of free medical care and labor insurance, its manifestations are mainly the emergency treatment of business travelers, the medical treatment of personnel stationed in different places by the unit, and the medical treatment transferred from different places. In the past, free medical care and labor insurance were all managed by units, so the problem of "medical treatment in different places" did not become a social problem. At present, the reason why medical treatment in different places has become a social problem strongly reflected by the masses is mainly related to the increasing freedom of personnel flow under the socialist market economy system, the nationalization or even internationalization of the business scope of modern enterprises and the socialization of the medical insurance system. These factors make the forms of medical treatment in different places diverse, the connotation complex and the crowd concentrated. At the same time, from another perspective, the prominence of this issue is also the inevitable result of people's livelihood issues being highly concerned and social democratic progress. It is not easy to solve this problem properly, which involves the reform and improvement of institutional mechanisms.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.