What should I do if I apply for reimbursement of medical expenses in other places?

The process for reimbursement of surgical expenses.

The process of how to handle the procedures for medical treatment in other places is as follows:1. Proof of the insured unit.

2. Copies of the front and back of the medical insurance card;

3. Discharge or diagnosis certificate, the resettlement personnel feel unequal treatment for medical treatment;

4. A detailed list of medical expenses;

5. A detailed list of medical expenses;

6. Medical expense invoice.

1.After the insured person has gone through the confirmation procedures for medical treatment in other places, he or she can seek medical treatment in a designated medical institution in another place. The amount of his personal medical account can be withdrawn from any of the business outlets of his medical insurance card and used for the expenses of general illness in the ward outpatient clinic and the cost of purchasing and dispensing drugs at pharmacies.

Insured persons who are hospitalized in illness (including outpatient specific items**) can go to the identified local designated medical institutions for inpatient and outpatient specific items**, and the problem caused is ostensibly that the settlement of medical treatment is not timely. The third is the medical treatment of retirees who have been resettled in other places for a long time. Including those who move their household registration from the place of work to the place of resettlement after retirement, the medical expenses of specific outpatient projects need to be attached to the copy of the "Gate Application Form" approved by the Municipal Medical Insurance Center (except for emergency observation), the essence is that the medical treatment in the place of resettlement is often better than that in the place of insurance, study, and family visits, when suffering from an acute illness, the medical expenses are paid by the individual first, within 1 month from the date of discharge, and also include those who rely on their children to migrate without household registration;

First of all, you can bring your personal identity documents and social security card, and after filling in the relevant "Registration Form for Remote Medical Treatment of Basic Medical Insurance", go to the medical insurance agency in the place where you participate in the insurance to go through the formalities.

Next, you need to choose the settlement method of remote medical treatment, which mainly includes two methods: direct settlement by card and reimbursement settlement after advance payment. If the insured person chooses the latter, he or she needs to select 2 or 3 designated hospitals. It should be reminded that if you are a medical person who is transferred due to illness, then you only need to choose a hospital.

After that, the local medical insurance agency checks and uploads your information to the remote medical treatment settlement platform.

In addition, there are the following three principles that the insured needs to understand for direct settlement of medical treatment in other places:

1. The scope of medical insurance payment shall be according to the drug list of the place of medical treatment: the insured person needs to implement the payment scope of the place of medical treatment for medical treatment, including the basic medical insurance drug catalog, diagnosis and treatment items and service facility standards.

2. The limit of medical insurance payment ratio shall be based on the policy of the place of insurance: the insured person shall implement the payment policy of the place of insurance for medical treatment in other places, including the starting line of medical insurance, the payment ratio and the maximum payment limit.

3. The review of information record expenses shall be managed by the place of medical treatment: when the insured person seeks medical treatment in another place, the agency in the place of medical treatment shall provide the same services and management as the local insured person for the medical treatment in the other place, including consulting services, medical information records, medical monitoring, medical expense review, etc.

In the past, we have said that for people who want to drift in many cities in their lives, they must calculate which city to receive social security in the future, and according to the different economic development level of each city, the pension you receive may be different. So is this the case with social security, is this the case with medical insurance? It's also like that.

Hello, about the reimbursement of medical insurance in other places, you must first pay the medical expenses yourself, and ask for the original invoice, medication list and medical record book at the medical treatment unit when you are discharged. Then bring your ID card, medical insurance card, original list, medication list, medical record book and other materials to the local medical management center or the medical insurance settlement window of the designated medical institution for reimbursement. The insured's medical treatment in other areas outside the overall planning area of the city is collectively referred to as remote medical treatment, including:

1) Long-term medical treatment in other places: The insured person has lived, worked or studied in the same place in China for more than 6 months, and sought medical treatment in a designated medical institution of local medical insurance selected in another place due to illness. (2) Remote emergency treatment:

The insured person is hospitalized in an emergency department or for emergency observation in a domestic non-local medical institution.

Legal analysis: The reimbursement process for medical insurance in other places is as follows: 1. To apply, first apply for medical treatment in other places at the medical insurance center in the place where you are insured, receive the approval form in triplicate, and stamp it at the medical insurance office of the designated hospital for medical insurance in other places; 2. Send it to the local medical insurance center for the record, and apply to the local medical insurance center for reimbursement with the settlement bills and daily lists.

The specific management measures for medical services for emergency and rescue of insured persons shall be formulated by the overall planning area according to the actual local situation.

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

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 The part of the medical expenses of the insured persons that should 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.

The medical reimbursement process for non-local Minxun is as follows:

1. Before hospitalization or within 3 days after hospitalization, call the hometown NCMS consultation** to register and record the hospitalization and medical treatment;

2. After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee at the place of residence, and if you are working abroad, you must have a work certificate issued by the work unit;

3. After discharge, take a copy of the medical record, a summary list, a hospitalization bill, and a discharge certificate, and then take the patient's ID card, cooperative medical certificate and residence or work certificate back to the place where you participate in the hospital for reimbursement;

4. If you are directly going to the province for chemotherapy from the place where you participate, you must go through the referral and transfer procedures before leaving, and then you can go to other places for hospitalization**;

5. The proportion of reimbursement outside the province is the lowest, the general starting line is about 2000, and the reimbursement ratio is 45 of the reasonable expenses.

Legal consultation: Netizen: How to reimburse the social security card for seeing a doctor in another place?

Lawyer: For most areas, medical treatment in other places can only reimburse hospitalization and emergency expenses, and ordinary outpatient clinics generally have to pay for themselves. Only a small number of areas in Nalu have achieved reimbursement for outpatient services in other places, such as Jiangsu and Anhui.

First of all, look at the reimbursement scope, which is subject to the medical insurance catalog of the place where the medical treatment is treated; Secondly, it depends on how much can be reported, which is subject to the policy of the insured place, including the starting line of reimbursement, reimbursement ratio, etc.

1. Is social security common throughout the country, and what are the requirements for the location of social security reimbursement?

At present, the medical insurance card cannot be used nationwide, and it needs to be reimbursed by designated medical treatment.

Taking Beijing as an example, the "Beijing Basic Medical Insurance Regulations" has corresponding provisions for it. Article 44 stipulates that the city's medical insurance implements a designated medical system. In accordance with the principle of nearby medical treatment and convenient management, employees and retirees can choose 3 to 5 designated medical institutions.

Therefore, the use of the medical insurance card is still limited to the place where the insurance is enrolled. However, if you seek medical treatment in other places, you can go through the filing procedures for medical treatment in other places before you seek medical treatment in other places, and then the medical insurance expenses incurred in the registered hospital can be directly settled with the medical insurance card, and you will not be used to run back and forth between the two places.