Do I need to open a referral form for social security?

Social security is divided into outpatient service and hospitalization. Secondary outpatient service needs to be bound with social security, while hospitalization does not need to be bound with hospital. Third-level outpatient service and hospitalization need to be bound to social health or hospital. The second kind of hospitalization pays for itself. If you need to be hospitalized, you don't need to open a referral form. If it's an outpatient clinic, you can't open a referral form. Third-level migrant workers' medical insurance, if they want to be hospitalized, need to issue a referral certificate to the superior hospital of Social Health. If you don't open it, you can be hospitalized, but the reimbursement will be reduced.

Article 2 Provisions on social security referral forms:

1. For diseases that cannot be solved by community health, the doctor will issue a referral form (the superior hospital at the designated point). If you see an outpatient clinic, the expenses incurred within 3 days of the referral date can be reimbursed in community health, and a referral form can be issued according to the condition. Hospitalization is another matter.

2. If the community health center has signed an agreement with the superior hospital, it can pay the social security card directly in the hospital, otherwise it will be reimbursed back to the community health center with the referral form, invoice and computer list (the community health center has a new designated reimbursement time reception).

3. The reimbursement amount of expenses incurred in designated hospitals during the referral period is: 90% of examination fee, 80% of class A drugs and 60% of class B drugs.

4, the basic medical insurance second and third file insured, should choose a community health service center in the designated medical institutions in this city for outpatient treatment. If there is an employer, it shall be chosen by the employer; If the unit is useless, choose it yourself. /kloc-Class II participants of basic medical insurance under 0/4 can choose a community health center or a hospital below Class II in the city as the designated medical institution for outpatient treatment. The insured person may change the selected community health center or other designated medical institution, and seek medical treatment in the outpatient department of the changed community health center or designated medical institution from the second month after the change takes effect.

5. Because our social security is generally reimbursed directly from the social security card, if we want to make a second reimbursement, we must have a referral form, relevant receipts and details, and only in this way can we make a second reimbursement.

Legal basis: Article 2 of the Social Insurance Law of People's Republic of China (PRC) The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., to protect citizens' right to get material help from the state and society according to law in case of old age, illness, industrial injury, unemployment and maternity. Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.