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How to use children's social security in Wuhan
Wuhan and Hangzhou are not the same coordinating area, so the children's social security can not be used in a different place. The children's social security only refers to the payment of medical insurance only, in the medical insurance need to be used in a different place, you need to meet the conditions of the foreign medical treatment, and then back to the payment area for reimbursement. Children's social security does not meet the conditions of medical treatment. So it can't be used.
The term "out-of-area medical care" can be simply defined as medical care that occurs outside of the area where the insured person is enrolled in the insurance program. In the context of social health insurance, the term "out-of-town" generally refers to a domestic region other than the one in which the participant is insured, and the term "medical treatment" refers to the participant's medical treatment.
There are three main cases of "medical treatment in other places".
One is the one-time medical treatment in a different place, including the treatment of acute illnesses during business trips and travel, as well as the patient's initiative to transfer to a different place for medical treatment, which creates the problem of not being able to settle the medical expenses in time.
The second is the short- and medium-term mobility, the workplace is not in the insured place of the personnel of the medical treatment, including the unit in various parts of the stationed personnel, stationed agencies in the local employment, and a situation is the entire unit is in the state of mobility, such as the construction industry, such as the medical treatment, the resulting problem either can not participate in the medical insurance, or have to pay the medical expenses.
Third is the medical treatment of retirees who have been relocated for a long time. Including post-retirement household registration from the workplace to the place of resettlement, but also to rely on the children without household registration, the problems arising from the surface of the settlement of medical untimely, inconvenient, heavy burden on the individual, in essence, the place of resettlement of medical treatment is often better than the place of participation in the insured, relocation of the people feel that the unequal treatment of medical treatment.
Declaring the reasons
1, limited to the limitations of the local medical level, a part of the seriously ill and the local designated medical institutions for long-term treatment of patients who do not have a significant effect on the transfer of foreign medical treatment.
2. Some of the people who participate in pension and medical insurance as freelancers locally, but usually work abroad, seek medical treatment at their place of work when they are sick.
3. Some of the workers, after retiring, miss their hometowns and go back home to retire, and seek medical treatment at the local hospitals in their hometowns.
4. Some enterprises contracted projects outside the country or set up marketing organizations outside the country, and their employees work and seek medical treatment outside the country for a long time.
Declaration Criteria
1, retired participants resettled in a different place;
2, retired participants residing in the same foreign place within the country for more than half a year;
3, permanent participants working in a different place within the country.
Declaration Procedures
1. Participants can seek medical treatment at the recognized designated medical institutions in other places only after going through the procedures of confirming medical treatment in other places. The amount of the individual medical account can be withdrawn from any of the business outlets with the medical insurance card, and can be used to pay for outpatient general illnesses and the costs of purchasing and dispensing medicines at pharmacies. Participants who are sick and hospitalized (including outpatient treatment for specific items) can go to the local designated medical institutions for hospitalization and outpatient treatment for specific items, and the medical expenses will be paid by the individual first, and within 1 month from the date of discharge from the hospital, the participant shall apply for reimbursement to the Municipal Medical Insurance Center by presenting the following documents;
1) a copy of front and back of the medical insurance card;
2) a copy of the confirmed Application Form of Medical Treatment in a Different Place;
3) a copy of the Application Form of Medical Treatment in a Different Place;
3) a certificate of discharge or diagnosis, and a copy of the "Outpatient Application Form" approved by the Municipal Health Insurance Center for outpatient medical expenses for specific items (except for emergency inpatient treatment);
4) a detailed list of the medical expenses;
5) an official ticket of the medical expenses (signed by the person who reimburses the expenses on the back);
2. The participant shall apply for reimbursement of outpatient medical expenses when he/she goes to When a participant suffers from an acute illness during a business trip, study trip or family visit abroad (excluding Hong Kong, Macao and Taiwan), he/she can go to the local public hospital for medical treatment, and the outpatient medical expenses are to be taken care of by the participant himself/herself; the expenses incurred in the approved hospitalization (including the emergency inpatient treatment) are to be applied for piecemeal reimbursement to the Municipal Medical Insurance Center by the unit manager with the following documents after the participant has made a cash advance:
1) a certificate of the participant's unit;
2) a copy of the front and back of the medical insurance card;
3) a certificate of discharge or diagnosis;
4) an itemized list of medical expenses;
5) an invoice of the medical expenses (with the reimbursement person answering the name on the back);
6) a copy of the hospitalization medical record.
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