Can the medical insurance card in Xiamen be used in other places?

It can be used in different places, but it needs to be filed.

Xiamen medical insurance department issued the management measures for medical treatment in different places —— Five highlights were added in the new policy "Xiamen Basic Medical Insurance Management Measures for Medical Treatment in Different Places (Trial)";

1. Inter-provincial medical treatment in different places is in line with the national settlement platform, and there is no longer "running errands" and "supporting"!

After filing, inter-provincial hospitalization medical expenses were settled in real time, which greatly reduced the transportation cost, time cost and financial pressure caused by reimbursement of medical expenses between the two places.

2. The filing institution simplifies the confirmation procedure, which is more convenient.

The original medical records in different places must be reviewed and confirmed by medical insurance agencies in different places, and medical institutions and retail pharmacies should be selected as designated medical institutions for local medical insurance, and the hospital level should be defined. To simplify, if the selected designated medical institution is a designated medical institution with direct settlement across provinces and different places, and it is made public on the national networking platform or official website (Http//si. 12333.gov.cn), the medical insurance agency in different places may not need to confirm.

3. The time limit for filing changes is reduced from 6 months to 3 months, which is more humanized.

According to the original regulations, retirees, long-term residents in different places and permanent residents in different places may not cancel their registration or change designated medical institutions and retail pharmacies in different places within 6 months from the effective date of medical treatment in different places. Considering that transportation is more convenient and people flow is extremely convenient, the time limit is shortened to three months.

4. After filing, you can return to Xiamen for a short time to resume swiping your card, which fully considers the needs of the insured.

Those who return to the city in a short period (within 3 months) can apply for opening a local credit card, and the medical insurance agency will suspend their medical records in different places and open the real-time settlement function of the credit card in this city until they leave this city.

5. Filing can be handled nearby, which is more convenient.

Resettlement of retirees, staff in different places and permanent residents in different places shall be filed by the front desk. At present, the insured can go to the business window of the administrative service center of the municipal or district medical insurance agency nearby. (Previously, it was necessary to go to the medical insurance agency in the area where the account was located)

1. How to reimburse Xiamen medical insurance card in different places?

With the opening of one-stop settlement for medical treatment outside the province, Xiamen medical insurance participants are hospitalized in 12 pilot hospitals in Beijing and Shanghai. As long as you declare according to the procedure, you can complete the one-stop reimbursement of medical expenses within the scope of medical insurance payment within 4 hours, and you only need to pay the medical expenses that you should pay when you leave the hospital. It is understood that Beijing and Shanghai are the high incidence areas for Xiamen insured people to go abroad for medical treatment, and these 12 pilot hospitals are also well-known hospitals with concentrated medical treatment abroad and high medical technology level.

Second, Xiamen social security card can be swiped in different places.

Xiamen social security card can be swiped in different places, which is convenient for citizens to seek medical treatment and purchase medicines across regions. With the Xiamen social security card, you can directly swipe your card to see a doctor and buy medicine in Zhangzhou and Quanzhou. At present, credit card acceptance is limited to designated medical institutions in the province. The social security cards in Zhangzhou and Quanzhou can't be swiped in different places for the time being, and the next step will be gradually opened; Xiamen, Zhangzhou and Quanzhou basic medical insurance management service cooperation projects were officially implemented. According to the medical insurance policy in Xiamen, when the insured person goes to Zhangzhou and Quanzhou for medical treatment and medicine purchase with the social security card, the medical expenses can be settled in real time through the credit card. At present, the acceptance of credit cards in different places is limited to designated medical institutions in the province. The social security cards in Zhangzhou and Quanzhou are temporarily unable to be settled by credit card in different places, and the next step will be gradually opened.

The medical insurance card cannot be used elsewhere. For those who often travel abroad or relocate after retirement, you can go to the medical insurance center for registration, so that even if you see a doctor in a different place, the medical expenses after consumption can be reimbursed at your medical insurance location.

legal ground

Interim Measures of Xiamen Municipality on the Administration of Transferring Basic Medical Insurance to Other Places for Medical Treatment

Article 2 If the insured meets one of the following conditions after illness, he may apply for going abroad for medical treatment:

(a) the diagnosis can not be confirmed after consultation with experts from the three-level designated medical institutions in this Municipality or the designated specialized medical institutions above dimethyl;

(two) the city's third-class designated medical institutions or designated medical institutions above dimethyl can not be treated because of equipment, technology and other reasons;

(three) special circumstances need to be transferred to designated medical institutions outside the city for treatment;

(four) the insured who lives (works) in different places needs to be transferred to the designated medical institutions in the third place for medical treatment because of illness.

Article 3 Procedures for examination and approval of medical treatment abroad:

(a) the insured person meets one of the above conditions and needs to be transferred for medical treatment. The attending physician of the designated medical institution in the city (or place of residence) shall fill in the recommendation for referral of basic medical insurance, put forward the reasons for referral for medical treatment, and the director of the department shall sign an opinion, and the medical institution shall review and seal it, and report it to the municipal social insurance management center for approval. City social insurance management center for the insured patients to handle the transfer of medical registration procedures.

(two) due to special circumstances, such as critical illness, can not handle the transfer procedures in time, must be within seven days after the transfer of medical treatment according to the above procedures.