Can I continue to use medical insurance after changing my place of residence?

This friend, because social security may be a little different in different places, I will let you know about this situation with an example of my local social security, and I hope it can help you!

Medical insurance to clarify doubts.

Mr. Zhang, an employee of a foreign-funded enterprise, participated in medical insurance in Guangzhou, but due to work needs, he needed to be assigned to work in Hangzhou for a long time. Mr. Zhang was worried: "What should I do if I get sick in Hangzhou?" Can I be reimbursed by medical insurance? ”

Relevant experts from the Guangzhou Medical Insurance Center said that the policy stipulates that all retirees who leave Guangzhou to live in other parts of the country for more than half a year after retirement, or in-service employees who work in other places for more than half a year, can enjoy medical insurance treatment according to the policy as long as they complete the procedures for seeking medical treatment in other places, and the medical insurance treatment enjoyed by medical treatment in other places is the same as that in the city. Therefore, as long as Mr. Zhang meets this condition and goes through the relevant procedures, even if he is sick in Hangzhou, he can still receive reasonable medical protection. However, if the insured person does not complete the procedures for medical treatment in another place and is hospitalized outside the city, the medical expenses will be borne by the individual.

If it is necessary to by-elect or re-elect a medical institution in another place, the inpatient medical expenses before completing the procedures for applying for medical treatment in another place shall also be borne by the individual.

Mr. Zhang has gone through the procedures for medical treatment in another place in accordance with the relevant regulations, how should he see a doctor? Experts from the medical insurance center pointed out that if Mr. Zhang went to a designated hospital in Hangzhou for outpatient treatment due to a general illness, Mr. Zhang would pay in cash and would not be reimbursed. If Mr. Zhang is seriously ill and meets the hospitalization criteria and needs to be hospitalized in a designated hospital for medical insurance (or for outpatient specific projects), then the medical expenses incurred shall be paid by him personally in cash first, and within one month from the date of discharge (or payment of medical expenses), he shall provide relevant information and apply to his unit, and then the person in charge of the unit shall go to the Guangzhou Medical Insurance Center for reimbursement according to the regulations.

At the same time, if the place of residence is moved or the original selected local medical insurance designated medical institutions cannot meet the medical needs, they can apply for medical treatment in other places again. If you return to the city to live or work for a long time, you need to go through the procedures for canceling the medical treatment in other places.

Relevant experts pointed out that two conditions must be met at the same time to apply for medical treatment in other places: one is to live in the same place in China, and the other is to live for half a year. For example, Mr. Wang, a retired insured person, planned to live with his son in Hainan Province for 4 months and his eldest daughter in Jiangxi Province for 3 months in May last year.

Reimbursements can be made in different places, but the procedures are different:

1.Rural cooperative medical care.

In general, according to the different provinces, cities and counties, the reimbursement ratio is different, but usually the reimbursement is 25% for those who do not transfer to the hospital (local medical treatment), and 45% for the transfer hospital.

When reimbursement, you need to bring the diagnosis certificate, discharge record, NCMS certificate, medical expense invoice, medical card, ID card (or household registration booklet) to the local health center of NCMS for review and reimbursement. In some places, a referral certificate is required to be issued for reimbursement, so you have to apply for a referral certificate during the admission period, otherwise the referral certificate will not be allowed after discharge. However, the regulations vary from place to place, so please consult your local social security department for details.

2.Medical insurance for urban residents.

According to the provisions of the urban residents' medical insurance policy, the insured must register with the medical insurance agency in the place of insurance in advance for medical treatment in other places, and file (if an emergency patient needs to be hospitalized in a hospital in a timely manner**, he or she shall report to the medical insurance agency in the place of insurance within three days after hospitalization), and the medical expenses shall be paid in full by the individual first.

Within 1 month after discharge, the patient should go through the medical expense reimbursement procedures at the medical insurance agency where the household registration is located with the household registration booklet, a copy of the patient's ID card (the identity verification opinion signed by the medical insurance department of the hospital where the patient lives must be stamped with the official seal), resident medical guarantee (card), medical expense invoice and detailed list, discharge certificate, non-local residence certificate or temporary residence permit.

Therefore, when the medical personnel are hospitalized, they must report to the medical insurance center of the place where they are insured for the record, and if they do not go through the reporting procedures in accordance with the regulations, the medical insurance institutions will not reimburse the medical expenses incurred in the hospitalization.

If the place of medical insurance for urban and rural residents is changed, the medical insurance for urban and rural residents shall first be terminated in the street or village community where the insurance is suspended.

Then go to the street or village community of the new place to register, and after the registration is successful, you can pay the insurance in the new place. All you need to submit is your ID card or household registration booklet. You need to go to the local medical insurance agency to go through the procedures for changing the place of insurance.

The place where the medical insurance is insured is different from the place where the card is issued, and you need to go to the social security window of the place where you participate in the insurance to apply for the transfer of social security or report the loss and apply for a new card at the place where you are currently participating in the insurance. If the location is the current place of insurance, and the place of issuance is a different place in the same province, you can move the relationship to the place of insurance, which is subject to the regulations of the local social security department. If the card is lost, go through the procedures for replacing the lost card at the current insurance place, go to the social security window to replace the card, and re-apply for it.

The policy will vary from place to place, so it is recommended to check with the local social security center. The social security centers in each region will consult and understand. All kinds of insured units that have changed their social insurance registration information and basic information of the unit shall apply to the business hall of the Municipal Social Security Bureau or the district social security agency according to the affiliation of social insurance.

Change of basic information of the organization:

Within 30 days after the change of social insurance registration items such as the name, domicile or address of the insured unit, the representative or person in charge of the Faxun Department, the type of unit, the unified organization**, and the account number of the bank account of the account shall apply to the local social security bureau for the change with the relevant valid certificates and copies of the changed items.

When the insured unit changes in one of the following registered items, it shall, within 30 days from the date of change, go to the handling agency to go through the registration procedures for the change of the basic information of the insured unit:

1. Name of the unit;

2. Residence or address;

3. Legal representative or person in charge;

4. Unit type;

5. Unified organizational structure**;

6. Competent authorities.

Legal basis

Social Insurance Law of the People's Republic of China

Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

The process of changing the place of payment and insurance for urban and rural residents is as follows:

Click on Social Security; 3. Finally, click on the change of urban and rural personnel information in the social security comprehensive to change the address.

Resident medical insurance and employee medical insurance (urban employee medical insurance) are two independent types of medical insurance. There is no requirement for the number of years of payment for resident medical insurance, and you can enjoy one year of treatment if you pay for one year. However, when the employee reaches retirement age, the employee must have paid for 25 years.

The payment period of resident medical insurance cannot be combined into the payment period of employee medical insurance.

The following conditions must be met for the use of the personal account of the insured's employee medical insurance (urban employee medical insurance) for family members: 1. The insured pays normally and has not gone through the confirmation procedures for outpatient chronic diseases; 2. Family members participate in employee medical insurance or resident medical insurance and pay normally; 3. The insured's medical insurance personal account is more than 1,500 yuan; 4. The insured has gone through the procedures for authorizing the payment of individual accounts.

Opinions on the Integration of the Basic Medical Insurance System for Urban and Rural Residents" requires that the work progress and division of responsibilities be clarified. All provinces (autonomous regions and municipalities) should make plans and deployments for the integration of urban and rural residents' medical insurance work before the end of June 2016, clarify the timetable and roadmap, improve the promotion and assessment and evaluation mechanism of the work, strictly implement the responsibility system, and ensure that various policies and measures are in place. Each overall planning area should issue a specific implementation plan before the end of December 2016.

Legal basis] Social Insurance Law of the People's Republic of China

Article 2 The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, etc. Article 3: The social insurance system adheres to the principles of wide coverage, basic protection, multi-level, and sustainability, and the level of social insurance shall be commensurate with the level of economic and social development. Article 4 Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with the law have the right to inquire about payment records and personal rights and interests records, and request social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise their own units' contributions for them.

Hello, I'm glad for your question, how to change the place of participation in the basic medical insurance for urban and rural residents? Methods for changing the place of insurance for basic medical insurance for urban and rural residents: 1. Alipay:

After entering the medical insurance electronic voucher page, find the place of insurance, click on it and a "switch to the place of insurance" will pop up, and then switch the place of insurance to select. The premise is that the insured person has already enrolled in the switched place, and if there is no insurance, the relevant options of the insured place will not appear. 2.

WeChat: Find the wallet payment in WeChat and find [City Service] after clicking into the city service - after clicking into the city service, you will see that the service center has [Social Security] - taking Guangdong Province as the core potato for example, you can find [Guangzhou Social Security Service], but if it is another province, WeChat should automatically locate the medical insurance service of the corresponding province. --After clicking into the social security service, you will see [Inquiry and Change of Insurance Information], and after performing the corresponding operations according to the prompts that pop up, the modification will be successful.