How to reimburse cross-city medical insurance in Sichuan Province

Measures for reimbursement of cross-city medical insurance in Sichuan Province;

1, the first is the referral certificate of the hospital at or above the county level. Take the medical insurance in a small town as an example. If you want to go to a different place for medical treatment, you must first go to a hospital at or above the county level. Generally, there will be county-level hospitals in the town, allowing doctors to issue referral certificates;

2. Stamp the social security window of the hospital. The social security window of the hospital will generally be located at the toll gate, and the staff there will know how to get the referral certificate.

3. Go to the local social security office to register for out-patient treatment;

4. After going out for treatment, get it back to the county-level social security bureau for reimbursement. After completing the above three steps, you can go to a hospital in a big city. When you have cured the invoices, medical books, social security cards and household registration books, you can wait for your superior social security bureau to reimburse you.

Conditions for reimbursement of medical insurance in different places:

1, to participate in medical insurance as required;

2. It belongs to the enjoyment period of medical insurance benefits;

3, in accordance with the provisions of the medical expenses, such as medical expenses incurred in remote referral in accordance with the provisions.

To sum up, the agent will submit the reimbursement documents and other materials to the local insurance fund management bureau for acceptance; After receiving the application materials, the accepting department and the medical insurance center will complete the examination, settlement and payment on the same day.

Legal basis:

Article 28 of the Social Insurance Law

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.

Article 29

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.