How to handle medical insurance filing in different places?

First, confirm whether to seek medical treatment in different places in the province or across provinces. If it is the former, there is no need to file it. If it is a cross-provincial medical treatment in different places, the insured person holds a "social security card" to the social security center of the insured place to fill in the "approval form for medical treatment in different places" for registration, which is divided into the following two situations.

I. Long-term archivists

1. The insured person carries his social security card and ID card, fills in the registration form of medical treatment in different places for basic medical insurance, and goes through the formalities at the medical insurance agency in the insured place.

2. Choose the settlement method of medical treatment in different places: direct settlement by credit card.

3. Query the medical insurance agency of the insured place and upload the settlement platform for medical treatment of the insured person in different places.

2. Go abroad for medical treatment due to illness

1. The insured person carries his social security card and ID card, fills in the registration form of medical treatment in different places for basic medical insurance, and goes through the formalities at the medical insurance agency in the insured place.

2. Choose the settlement method of medical treatment in different places: direct settlement by credit card.

3. Choose a hospital.

4. Query the medical insurance agency of the insured place and upload the settlement platform for medical treatment of the insured person in different places.

After approval and filing, according to the principle of proximity, 1-3 medical institutions are designated in the place of residence, and the cycle is generally determined once a year. After being examined and approved by the social security unit of the designated institution, the filing shall be completed.

Precautions for medical treatment in different places

1. To ensure direct settlement, please hold the second-generation social security card when filing or seeing a doctor.

2, off-site filing personnel in the nearest hospital (non-selected tertiary hospitals) in critical illness, should be transferred to the selected designated medical institutions for treatment after the condition is stable; For non-acute and critical diseases or diseases that can be selectively treated or operated, the expenses incurred in the treatment of non-selected medical institutions will be reduced by 20 percentage points according to the prescribed proportion.

3, off-site filing personnel due to illness in the selected hospital institutions can not be treated, need to be transferred to the non-selected medical institutions for treatment, need to be issued by one of the selected medical institutions referral certificate, and timely to the provincial social security bureau (via the third road) for the record.

The following materials shall be provided for reimbursement in different places (filing in different places, seeking medical treatment in different places, etc.). ):

1. medical insurance card;

2. Bank card;

3. The original ID card of the person or agent;

4. Invoice;

5. summarize the list;

6. Discharge summary or medical record.

In addition to the above normal materials, special reimbursement shall also provide the following materials:

1. Emergency business trip: provide the business trip certificate stamped by the company.

2. Maintenance of chronic diseases: medical records or discharge summary of chronic drugs (Xiamen) and foreign certificates.

3. Newborn: birth certificate (insured within three months of birth).

4. Visiting relatives in different places: proof of visiting relatives (stamped by the neighborhood committee, unit or other institution).

5. Going out on business: relevant certificates such as round-trip air tickets and train tickets to real-name registration system (copies can be provided).

6. Students seek medical treatment in different places during holidays: a certificate issued and sealed by the school.

7. Traffic accident: a letter of responsibility and a description of the situation issued by the public security or traffic police (the accident description should be written).

legal ground

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

Article 59

The people's governments at or above the county level shall strengthen the collection of social insurance premiums. Social insurance premiums shall be uniformly collected, and the implementation steps and specific measures shall be stipulated by the State Council.