Can't traumatic injuries be reimbursed off-site

Traumatic injuries can be reimbursed off-site.

The criteria for reimbursement in a different place are as follows:

1. Under special circumstances, emergency hospitalization medical expenses incurred in a different place for reasons such as business trips, family visits, vacations, etc., shall be reimbursed in accordance with the specific provisions of the medical insurance scheme of the place where the insurance is taken out. Generally, in case of emergency, the nearest clinic is allowed. After treatment, with the treatment of the hospital issued a valid certificate back to the local medical insurance agency in accordance with the provisions of the reimbursement;

2, if you have retired, around the children settled in foreign countries, back to the participating medical insurance center to apply for the retiree resettlement, do it, you can choose one or two designated hospitals, the cost of their own advance, and then go back to the participating local medical insurance center for reimbursement;

3

The Chinese government's policy of "one country, two systems" has been adopted by the Chinese government, and the Chinese government's policy of "one country, two systems" has been adopted by the Chinese government, and the Chinese government's policy of "one country, two systems" has been adopted by the Chinese government.

The process of reimbursement of medical insurance in a different place:

1, the person needs to go through the approval of the relevant departments first. The approval location of the relocation is: the participating units or street social security is located in the district and county medical insurance center. After applying for the relevant approval sheet, fill in the relevant content. Bring the relevant documents to the medical insurance department of the hospital in the other place for stamping. Then return the relevant approval sheet to the application of the local agency for approval;

2, the approval of the period of time is usually one year, specifically that is, the person from the date of the start to the day of the second year. It is not possible to change within one year. If the approval period has expired, the party still in the off-site will need to go to the relevant departments for re-approval. It is essential for those who are in a foreign country to choose a hospital in the foreign country, and the rules on how many hospitals can be chosen by those who are seeking medical treatment vary from region to region. Generally, you can choose two to three;

3, the people who are essential to encounter the foreign reimbursement of things, the relevant people need to go to the outpatient clinics, hospitals issued receipts, lists, prescription bottoms, details, medical insurance manuals, diagnostic proof of the case, the more detailed, the better. At the same time, you should not forget to issue a certificate of registration of the hospital you are attending, in order to facilitate the employer, the social security office, the district and county health insurance centers to carry out statistical summaries and audit and settlement of the work;

4, the person concerned in the designated hospitals in other places in the medical expenses incurred, will be related to the relevant reimbursement documents will be mailed back to the original city for reimbursement, but also allow family members to reimbursement of the city of origin in the original help. The criteria for reimbursement will still be in accordance with the rules of the city, and the money can be claimed by family members or by setting up your own account.

To summarize, the hospital issued by the foreign medical hospital discharge summary, invoices, medication details. And bring your ID card, health insurance card, and proof of off-site medical treatment issued by your organization. Local hospitals issued by the transfer certificate, you need to attending physician to open a certificate, and then that attending physician's department director signed, and then to the hospital health insurance office for the transfer certificate.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that are in accordance with the basic medical insurance drug list, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.