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According to the provisions of the Social Insurance Law, the medical insurance card can be used in other places.
Article 32 of the Social Insurance Law stipulates that if an individual is employed across the overall planning area, his basic medical insurance relationship shall be transferred with him/her, and the payment period shall be calculated cumulatively. Therefore, if you want to use the medical insurance card in a different place, you need to transfer it before you can use it, even if the use is still limited to a certain extent.
Moreover, the medical insurance card cannot be used abroad. Article 30 of the Social Insurance Law stipulates that the following medical expenses are not included in the scope of payment of basic medical insurance**: (4) medical treatment abroad.
How to use the medical insurance card:
1. When seeking medical treatment in a designated hospital, show the medical insurance card to prove the identity of the insurance and **, the individual does not need to pay first and then reimburse, and the medical insurance and the hospital can directly settle the part of the medical insurance reimbursement, only when the bill is settled, the self-paid part is paid by the balance of the medical insurance card or cash.
2. When reimbursing hospitalization, the money of the starting line needs to be paid by yourself, and the part that exceeds the minimum payment line can be reimbursed according to the provisions of local medical insurance, and the reimbursement ratio is different from place to place, and different hospitals and different projects are also different.
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Whether the medical insurance card from other places can be used locally needs to be determined according to the medical insurance policies of the two places. At present, for most areas, medical expenses for emergency and hospitalization can only be reimbursed for medical treatment in other places, and ordinary outpatient visits generally have to be paid by themselves. However, there are also a small number of areas that have achieved reimbursement for outpatient services in different places.
Foreign medical insurance can not be used locally, in the current situation, if there is a purchase of medical insurance in the field, so that it can be reimbursed by the local medical insurance, specifically to the local situation to reimburse, of course, each region can be reimbursed for the cost is different, these are to be used in the case of the purchase of medical insurance card, other legal basis is calculated separately, it is best to use the medical insurance card locally.
Although the current policy has allowed the transfer of medical insurance cards to other places, there is still a geographical gap in the use of medical insurance cards, and the use of medical insurance cards in other places is still subject to certain restrictions.
If you want to use your medical insurance card in a different place, you should go through the relevant procedures in advance. Those who often travel on business trips or are placed in other places after retirement and need to use their medical insurance cards in other places need to register with the medical insurance center. If the cardholder does not register with the medical insurance center, then the non-local medical insurance card cannot be used locally.
[Legal basis].
Article 23 of the Social Insurance Law of the People's Republic of China Employees shall participate in the basic medical insurance for employees, and the employer and the employees shall jointly pay the basic medical insurance premiums in accordance with the provisions of the State.
Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state. Article 8 of the Detailed Rules for the Implementation of the Social Insurance Law of the People's Republic of China (1) The medical expenses incurred by the insured persons in the agreed medical institutions meet the standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facilities, and shall be paid from the basic medical insurance in accordance with national regulations;
2) If the insured person really needs emergency treatment or rescue, he or she may seek medical treatment in a non-agreed medical institution; The scope of drugs that must be used for rescue purposes may be appropriately relaxed;
3) The specific management measures for emergency and rescue medical services for insured persons shall be formulated by the overall planning area according to the actual local situation.
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The medical insurance card from other places can be used locally and can be reimbursed in other places. The following materials are required for reimbursement of medical insurance in other places:
1. Transfer certificate issued by the hospital in this city;
2. Take the transfer certificate issued by the hospital to the social security office of the city or district for approval and filing in other places;
3. The original intake invoice of the designated hospital in another place;
4. The original list of expenses for machine typing;
5. One valid copy of inpatient medical record;
6. One copy of ID card.
Out-of-town medical reimbursement procedures:
1. Bring the patient's ID card, two one-inch color **, and NCMS medical certificate to the county joint management office for referral and filing procedures;
2. Bring the patient's ID card, NCMS medical certificate and referral filing procedures to the referral hospital for medical treatment and go through the NCMS hospitalization procedures;
3. After discharge, the patient should be reimbursed to the joint management office with his or her ID card or household registration book, NCMS medical certificate, copy of medical record, hospitalization settlement statement, list of hospitalization expenses, and referral filing procedures.
Insurance Law of the People's Republic of China
Article 2. The term "insurance" as used in this Law refers to commercial insurance in which the insured pays insurance premiums to the insurer in accordance with the contract, and the insurer bears the responsibility for compensating for the property losses caused by the occurrence of an accident that may occur as agreed in the contract, or bears the responsibility for paying the insurance money when the insured dies, is disabled, becomes ill, or reaches the age and time limit agreed in the contract.
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Although the current policy has allowed the transfer of medical insurance cards to other places, there is still a geographical gap in the use of medical insurance cards, and the use of medical insurance cards in other places is still subject to certain restrictions. As for the specific operation process, it is recommended to consult your local social security center directly or call **12333 to consult and confirm, and their reply shall prevail. Article 26 of the Social Insurance Law of the People's Republic of China (2018) The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the State, and they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state. Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **. Article 29 of the Social Insurance Law of the People's Republic of China The part of the medical expenses of the insured persons that shall be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.
The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits. Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**: (A) shall be paid from work-related injury insurance**; (2) It shall be borne by a third party; (3) It shall be borne by public health; (4) Seeking medical treatment outside the country.
Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.
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Summary. Pro, it can be used in other places, and the medical insurance card in other places can be used locally, but the following matters need to be noted: first, the medical insurance card must belong to the national unified medical insurance system, and cannot be a unique local medical insurance card; Secondly, you need to go to the local medical insurance center to go through the referral procedures or the prescribed medical treatment plan, so that you can use the medical insurance card normally in the local area; Finally, medical insurance policies vary from region to region, so you need to understand the specific local regulations in advance.
According to the Medical Insurance Law of the People's Republic of China, the medical insurance card is issued and managed by the local co-ordination area under the one-card system per person, and the medical insurance cards across the country can be mutually recognized and enjoyed.
Can I use a foreign medical insurance card in Shanghai?
Pro, it can be used in other places, and the medical insurance card in other places can be used locally, but the following matters need to be noted: first, the medical insurance card must belong to the national unified medical insurance system, and cannot be a local unique medical insurance card; Secondly, you need to go to the local medical insurance center to go through the referral procedures or the prescribed medical treatment plan, so that you can use the medical insurance card normally in the local area; Finally, medical insurance policies vary from region to region, so you need to understand the specific local regulations in advance. According to the "Medical Insurance Law of the People's Republic of China", the medical insurance card is issued and managed by the local co-ordination area, and the medical insurance cards in the country can be mutually recognized and enjoyed.
When using a foreign medical insurance card for medical treatment, it is necessary to pay attention to the fact that the medical costs of medical treatment in different regions are relatively different, and it is recommended that she understand the local medical expenses and medical policies in advance, so as to choose the appropriate medical treatment methods and programs. At the same time, it is best to consult the medical insurance center or relevant departments before seeking medical treatment, so as to understand the specific regulations of the region and ensure the validity of the medical insurance card. <>
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Hello, under normal circumstances, foreign medical insurance cards can be used locally. Because of the national medical insurance network, medical insurance cards in different regions can be mutually recognized. However, it should be noted that the medical insurance policies and reimbursement standards may be different in different regions, so when using a foreign medical insurance card, you need to reimburse according to local regulations.
In addition, some regions may have some restrictions on the use of foreign health insurance cards, such as the need for identity verification. In general, if you want to use your medical insurance card in other places, it is recommended that you consult the local medical insurance institution or the medical insurance department of the hospital before seeking medical treatment, and understand the relevant local regulations and policies, so as to better use your medical insurance card.
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Legal Analysis: Medical Insurance Reporting Process for Medical Treatment in Other Places:
1. You need to bring the ID card and medical insurance card of the insured to the Municipal Medical Insurance Hall to receive the "Registration Form for Non-local Residents of Municipal Medical Insurance".
2. Fill in according to the regulations and go to the remote medical insurance institution for seal and identification.
3. Take the completed application form back to the local medical insurance institution for review and confirmation.
4. When you are hospitalized, please call the Municipal Medical Insurance Center** to register.
5. Within one month of discharge, bring the hospitalization receipt, expense details, a copy of the case and a copy of this form to reimburse the hospitalization medical expenses.
6. The hospital you choose to seek medical treatment must be a designated hospital for medical insurance in your place of residence.
Legal basis: "Law of the People's Republic of China on Social Guarantee Rental Insurance" Article 31 Social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and drug business units to standardize medical services.
Medical institutions shall provide reasonable and necessary medical services for insured persons.
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