Does medical insurance in different places refer to inter-provincial or inter-city medical insurance?

Medical treatment in different places refers to outside the province.

For the insured person's medical treatment behavior outside the insured place. In social medical insurance coverage, "off-site" generally refers to other areas in China other than the co-ordination area where the insured person is insured, and "seeking medical treatment" refers to the insured person's medical treatment behavior.

Medical treatment in different places:

1. One-time medical treatment in different places, including acute treatment during business trip and tourism, and the patient voluntarily transferred to other places for medical treatment, so the medical expenses could not be settled in time;

2. Short-term mobility, people whose jobs are not in the insured places seek medical treatment in different places, including units stationed in various places and institutions stationed in local employment. Another situation is that the whole unit is in a state of mobility, such as employees in the construction industry seeking medical treatment, and the problems arising are either unable to participate in medical insurance or have to pay medical expenses in advance;

3. Medical security for long-term placement of retirees. Including those whose registered permanent residence is moved from the place of work to the place of resettlement after retirement, and those who rely on their children to move in without registered permanent residence. On the surface, the problem is that the medical settlement is not timely and inconvenient, and the personal burden is heavy. In essence, the medical treatment in a safe place is often better than that in the insured place, and the resettlement personnel feel that the medical treatment is unequal.

Medical reimbursement method:

65438+

2 medical personnel in different places shall go through the registration procedures for medical treatment in different places at the medical insurance agency of the insured place. Medical expenses incurred by medical treatment in different places shall be paid in advance by myself. After the end of medical treatment, hold the relevant bills to the medical insurance agency in the insured area.

To sum up, it is stipulated that the insured shall report the name, address, department, bed number, contact number and condition of the hospital to the medical insurance agency by telephone within three days after hospitalization in different places. If the insured fails to report according to the regulations, the medical insurance agency will not reimburse him. After receiving the declaration, the medical insurance agency shall determine the audit method according to the inpatient diseases, illness and medical history of the insured. Audit methods include direct audit of medical insurance agencies, remote audit of medical insurance agencies and remote audit of designated hospitals.

Legal basis:

Article 32 of People's Republic of China (PRC) Social Insurance Law

If an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred accordingly, and the payment period will be calculated cumulatively.