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How to handle long-term outpatient service in different places
First, go through the examination and approval procedures for living in different places in the medical insurance bureau and its branches.
1. Materials required:
(1) application form for living in different places in duplicate.
② Copy of temporary residence permit
2. Processing time: 8: 30 am-11:00 on weekdays; 13: 30 ——16: 00 pm
Two, to the residence of the designated hospital medical insurance department for hospitalization, accounting procedures.
1. Required documents:
① Original ID card
② Social security card made by Daqing Human Resources and Social Security Bureau.
2. Hospitalization: The hospital collects a certain amount of hospitalization deposit according to the management regulations.
3. Settlement method: After the residents in different places are discharged from the hospital, the hospital informs the insured to return to the hospital for settlement. The insured only needs to pay part of the self-paid expenses to the designated medical institutions, and the Hainan Provincial Social Security Bureau pays part to the designated medical institutions.
4. Payment standard: the basic medical insurance drug list, the scope of medical service facilities, diagnosis and treatment items and prices shall be implemented according to the relevant provisions of Daqing basic medical insurance.
Three. Entrusted settlement business.
Entrusted by the local medical insurance bureau, the social security bureau in different places undertakes the hospitalization settlement business of local insured persons in different places, and the local medical insurance bureau regularly allocates the funds advanced by the social security bureau in different places.
Legal basis: Article 7 of the Notice of Ministry of Human Resources and Social Security and the Ministry of Finance on Doing a Good Job in Direct Settlement of Inpatients' Medical Expenses in Different Provinces with Basic Medical Insurance, the following persons participating in basic medical insurance may apply for direct settlement of hospitalization medical expenses in different provinces.
(1) Resettlement of retirees in different places: refers to those who have settled in different places after retirement and whose household registration has moved to their place of residence.
(2) Long-term residents in different places: refers to those who live in different places and meet the requirements of the insured place.
(3) Resident in different places: refers to the personnel who are sent by the employer to work in different places and meet the conditions of the insured place.
(4) Referral personnel from different places: refers to those who meet the referral conditions of the insured place.
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