The foreign medical insurance has been filed but can not be used

The reasons why the medical insurance has been filed but cannot be used are as follows:

1, not filed or not filed successfully: the insured person needs to confirm whether the record of the medical insurance has been filed or whether the record has been successfully filed before the medical treatment in a different place. You can check through the mobile APP of "National Health Insurance Service Platform" or the WeChat mini program of "National Record of Medical Treatment in a Different Place";

2. Incorrect selection of the coordinating area for filing: Participants need to confirm whether the coordinating area of the place of medical treatment selected for filing of medical treatment in a different place is correct. The region is correct or not. For example, if a participant's hospital is "Baoding People's Hospital" in Hebei Province, he can't realize the direct settlement of expenses when he is discharged from the hospital because the hospital belongs to the coordinating area of "Baoding City" in Hebei Province, but the participant's "place of medical treatment" is not correctly selected when he is filing. "The reason is that the hospital belongs to Baoding City, but the insured person chose Shijiazhuang City as the coordinating area in Hebei Province when he filed the record;

3. Failure of the information system network of hospitals in the place of medical treatment: the insured person needs to verify the relevant situation with the hospitals in the place of medical treatment;

4. Network failure: participants need to verify the situation with the local health insurance agency;

5. You forgot to pay the medical insurance fees, that is, you broke the payment.

The process of foreign medical insurance:

1, get or download on the social security website, "the city's basic medical insurance to work, live in a different place, the situation of the person declaration form";

2, fill out the required, and by the field of social insurance agencies stamped by the determination of the "declaration form";

3, will be filled out "declaration form" back to the division of responsibility of social insurance The completed "Declaration Form" will be taken back to the social insurance agency in charge of the work and will be confirmed. For those who are required to apply for a medical card in a different place in the province, they should go to the Audit Section of the Municipal Social Security Center with the Declaration Form for registration after the audit and confirmation, and then go to the Social Security Card Management Section for the card-making procedures of the province's networked cards in a different place;

4. The individual social security cards of the insured persons cannot be used after the preparation of the application; if the insured persons go back to those who are required to seek medical treatment, they should go to the Municipal Social Security Institution for cancellation of the medical preparation of the application, and from the next day onward, the individual social security cards can be used in the designated medical treatment center. Social security card can only be used in the designated medical institutions.

In summary, this has to do with the hospital on the other side of the hospital, if the hospital on the other side of the hospital did not enter the national network of hospitals, even if you do the record procedures, but also can not be in the hospital card settlement of hospitalization costs.

Legal basis:

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

Conforms to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.

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.