How to reimburse Ningbo for medical treatment in different places?

How to reimburse Ningbo for medical treatment in different places?

Social insurance provides basic living security for workers. Workers can enjoy social insurance benefits as long as they meet the conditions for enjoying social insurance, that is, they have established labor relations with employers or paid various social insurance premiums according to regulations. The following is how to reimburse me for medical treatment in different places in Ningbo, hoping to help everyone!

First, I went through the transfer procedures for medical treatment in different places.

Reimbursement object: Ningbo medical insurance insured, during the period of enjoying medical insurance benefits, went to other places for medical treatment due to illness and went through the formalities of medical treatment in other places.

Time limit for reimbursement: medical expenses transferred to other places for medical treatment shall be submitted to the medical insurance agency where the insured relationship is located for sporadic reimbursement within 6 months from the date when the local designated medical institution issues the settlement bill.

Overdue, medical insurance agencies will not be accepted.

Two, did not go through the formalities for examination and approval of medical treatment in different places and went to other places for medical treatment.

Reimbursement target: people who go to other places for medical treatment without going through the examination and approval procedures.

Reimbursement materials: the insured provides medical materials or medical examination reports before going to other places for medical treatment. If the audited situation is true, the medical expenses will be reimbursed according to the medical insurance policy.

Time limit for reimbursement: medical expenses transferred to other places for medical treatment shall be submitted to the medical insurance agency where the insured relationship is located for sporadic reimbursement within 6 months from the date when the local medical insurance designated medical institution issues the settlement bill.

Overdue, medical insurance agencies will not be accepted.

Third, emergency treatment in different places.

Object of reimbursement: The applicant must be the insured of Ningbo Medical Insurance.

Reimbursement conditions: the insured temporarily goes to other places (on business trip, etc.). ), and the medical disease belongs to the scope of emergency.

Time limit for reimbursement: You can go back to the nearest medical insurance center in Ningbo to apply for sporadic reimbursement within six months after the expenses occur.

Materials to be provided:

1, social security card, medical record book (or medical security calendar book) and ID card of the insured;

If the medical expenses are reimbursed by others sporadically, the ID card of the handler shall be provided at the same time;

2. Medical information (original emergency medical records or discharge records, original detailed list of medical expenses and other relevant information);

3, medical insurance designated institutions effective medical bills (financial supervision chapter and charge chapter is complete, the name is correct);

4. If it is not a designated medical institution in Shanghai, Hangzhou and Jiaxing, it is necessary to provide a certificate of the designated medical institution level of another hospital (which can be issued by the local medical insurance center).

5. Other relevant certificates should be provided for emergency treatment in different places, such as the business trip or vacation certificate of on-the-job employees.

When applying for sporadic reimbursement, the insured shall provide the following information:

1, original social security card or ID card and medical information (original outpatient medical records or discharge summary, detailed list of medical expenses and other related information);

2. Effective bills for medical expenses of designated medical institutions;

3. If the insured goes to a different place for medical treatment without going through the examination and approval procedures for medical treatment in a different place, the insured shall provide medical materials or medical reports before going to a different place for medical treatment;

4, by others for reimbursement of sporadic medical expenses, should provide the agent's ID card.

5. Bank card for Ningbo account opening. If there is no medical information or the medical information is incomplete, the medical insurance agency will not accept it.

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