Suzhou medical insurance Shanghai medical treatment process

Suzhou medical insurance Shanghai medical treatment process is as follows:

1. If the patient needs to be transferred to a foreign hospital for medical treatment due to illness, the insured patient should first apply to the medical insurance center of the insured place;

2, resettlement and off-site staff need off-site hospitalization, should promptly call the insured medical insurance center to declare for the record;

3, travel, visiting relatives and tourists in different places in the province need hospitalization due to acute diseases, directly call the medical insurance center of the insured place to apply for hospitalization in different places, and fax the letter of introduction issued by the hospital to the medical insurance center of the insured place;

4. The medical insurance center of the insured place receives the application for transfer or hospitalization in the above situation, and after passing the examination, it completes the examination and approval business in the big medical insurance information system;

5. Insured patients can enjoy medical insurance hospitalization by holding their ID card and medical insurance IC card and going to the medical insurance department or hospitalization front desk of designated hospitals in different places;

6. At the end of hospitalization, the hospitals admitted in different places are settled according to the medical insurance policy of the insured place, and the insured patients only need to pay the individual's own part of the hospitalization medical expenses.

The medical treatment in different places is as follows:

1. One-time medical treatment in different places, including acute treatment during business trip and tourism, and the patient voluntarily transferred to other places for medical treatment, so the medical expenses could not be settled in time;

2. Short-term mobility, people whose jobs are not in the insured place seek medical treatment in different places, including units stationed in various places, agencies stationed in local employment, and the whole unit is in a state of mobility, such as employees in the construction industry seeking medical treatment, and the problems arising either cannot participate in medical insurance or have to pay medical expenses in advance;

3. Medical security for long-term placement of retirees. Including those whose registered permanent residence is moved from the place of work to the place of resettlement after retirement, and those who rely on their children to move in without registered permanent residence. On the surface, the problem is that the medical settlement is not timely and inconvenient, and the personal burden is heavy. In essence, the medical treatment in a safe place is often better than that in the insured place, and the resettlement personnel feel that the medical treatment is unequal.

To sum up, medical treatment in different places can be simply defined as the medical treatment behavior of the insured outside the insured place. In social medical insurance coverage, different places generally refer to other areas in China other than the co-ordination areas where the insured is insured, and seeking medical treatment is the insured's medical treatment behavior.

Legal basis:

Article 27 of People's Republic of China (PRC) Social Insurance Law

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.