Job Recruitment Website - Social security inquiry - Can I be reimbursed for not being hospitalized in a different place?
Can I be reimbursed for not being hospitalized in a different place?
1. According to the policy, everyone can enjoy medical insurance benefits according to the policy as long as the procedures for medical treatment in different places are completed, and the medical insurance benefits enjoyed by medical treatment in different places are the same as those enjoyed by local doctors.
2. However, if you have not completed the medical treatment procedures in different places and are hospitalized outside the scope of local medical insurance, the medical expenses will be borne by the individual.
3, the need for by-election, re-selection of medical institutions in different places, in the unfinished re-bid for medical treatment in different places before the hospitalization expenses are also personally responsible.
The reimbursement process for off-site insurance is as follows:
1, recommendation certificate. If you want to use a medical insurance card for reimbursement when you go to see a doctor in a foreign country, you must first open a referral certificate in a local hospital. This certificate needs to be in a slightly larger local hospital, at least above the county level.
2. The seal of the hospital. After the referral certificate is issued in a hospital at or above the county level, it needs to be stamped. This chapter is not only the chapter of the hospital, but also the chapter of the hospital social security window where the referral certificate is issued.
3. Social Security Bureau registration. After opening the referral certificate and the hospital seal, I took the relevant information to the local social security bureau for registration. This registration is mainly for filing with the Social Security Bureau, which is convenient for reimbursement of medical insurance in different places in the future.
4. Hospital invoice. The reimbursement for medical treatment in different places is mainly hospitalization. Ask the hospital to issue an invoice after seeing a doctor, and be sure to keep the invoice. This is the basis for reimbursement.
5. Reimbursement by Social Security Bureau. When you come back from illness, you should go to the local social security bureau for reimbursement, and bring relevant materials, including invoices, ID cards, household registration books, social security cards, etc.
6. Outpatient reimbursement. Generally, it is more troublesome to reimburse hospitalization expenses in different places, but if it is outpatient expenses in different places, you don't have to bother. Just bring the invoice back to the Social Security Bureau for reimbursement.
To sum up, off-site clinics can be reimbursed. Living in a different place for a long time meets the requirements of the insured place. Such people need to apply for resettlement and filing in the insured place, be hospitalized in a hospital that is included in the settlement system for medical treatment in different places, and directly settle medical expenses with their new social security card.
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.
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