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How to get reimbursed for medical treatment in a different place
I. How to get reimbursed for medical treatment in a different place
1. The ways of reimbursement for medical treatment in a different place are as follows:
(1) Advance payment before reimbursement. The patient will bear all the medical expenses first, and then bring the hospitalization certificate and related bills to the medical insurance bureau of the place where he/she is insured for reimbursement;
(2) Direct settlement. As long as you swipe your social security card, you can directly settle the costs borne by the individual;
(3) Offline filing. Bring your valid ID card, social security card and other relevant documents to the health insurance administration department of the place where you are insured for filing the record of off-site medical treatment;
(4) Online channels. This can be done through the national health insurance service platform and the official website of the National Health Insurance Bureau.
2. Legal basis: Article 8 of the Regulations for the Implementation of the Social Security Law
Medical expenses incurred by insured persons in the agreed medical institutions, which are in line with the standards of the basic medical insurance drug catalog, diagnostic and therapeutic items, and medical service facilities, will be paid out of the basic medical insurance fund in accordance with national regulations.
Participants in need of emergency treatment, rescue, can be in a non-agreement medical institutions; rescue must be used for the drugs can be appropriately relaxed. The specific management of emergency and rescue medical services for the insured persons shall be formulated by the coordinating regions according to the local actual situation.
Second, what are the conditions for reimbursement of medical insurance for medical treatment in other places
The conditions for reimbursement of medical insurance for medical treatment in other places are:
1, IC card, basic medical insurance card, green sticker photo, or urban residents' basic medical handbook;
2, valid receipts and bills, invoices;
3, a summary list of inpatient medical expenses, medical insurance referral to hospitals Introduction letter, discharge certificate;
4. Hospitalization materials: the first page of the hospitalization medical record, admission records, surgical records, discharge summary, large-scale examination report, long-term medical orders, temporary medical orders, a copy of the seal of the medical institution to be stamped.
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