Job Recruitment Website - Social security inquiry - Can social security in different places go home for hospitalization and be reimbursed?
Can social security in different places go home for hospitalization and be reimbursed?
However, the conditions for reimbursement in different places need to be met. Eligible social security can be reimbursed in different places. Details are as follows:
1, retirees live in different places for more than three months;
2 employees who have been stationed in the field for more than three months by the employer;
3. Persons who need to be transferred to other places for medical treatment due to insufficient local medical conditions.
The process of reimbursement in different places is as follows: 1. Referral certificate of hospitals above county level. Stamp the social security window of the hospital. Go to the local social security office to register for outpatient treatment. Take it back to the county social security bureau for reimbursement after going out for treatment. You can be hospitalized in different places for reimbursement. Medical insurance reimbursement process in different places: after the insured person files in different places, he only needs to go to the designated hospital for medical insurance for employees in his place of residence. The medical expenses incurred by the insured at the filing place shall be paid by himself first, and shall be reimbursed to the medical insurance center according to the regulations after discharge.
Handling medical insurance settlement in different places needs to meet these three requirements:
1. The insured person has gone through the inter-provincial medical registration and filing as required;
2. Hospitals seeking medical treatment in different places have opened direct settlement for medical treatment in different places across the country;
3. You must have a social security card with complete information to see a doctor, including the new rural cooperative medical system and the medical insurance card for urban residents.
However, there are four types of people who seek medical treatment in different places. As long as the conditions are met, the hospitalization expenses can be settled directly:
1. Resettlement of retirees in different places: long-term residence in different places, and the household registration personnel who move into the local area mainly refer to educated youth.
2. Long-term living in different places: children work in big cities such as Beijing, Guangzhou and Shenzhen, and their parents come from their hometown to live with their children after retirement.
3. Resident staff in different places: the resident staff sent to other places by the unit for work reasons.
4. Referral from other places: If the illness is serious and the local medical conditions are limited, it is necessary to transfer to a large foreign hospital.
The medical insurance department of the insured place applies for medical treatment in different places, and after medical treatment in different places, it will be reimbursed with the reimbursement form and the certificate of consent to medical treatment. If you live in a foreign country for a long time, apply for a designated hospital for medical insurance in the foreign country, go to the designated hospital for medical treatment after the onset, and then submit the expenses and treatment list to the insured place for reimbursement.
Legal basis:
Article 30 of People's Republic of China (PRC) Social Insurance Law: The following medical expenses are not included in the payment scope of the basic medical insurance fund: 1, and should be paid from the industrial injury insurance fund;
2, should be borne by a third person;
3, should be borne by public health;
4. Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
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