How is the medical insurance reimbursed for remote medical insurance, and how is the medical insuran

Non-local medical insurance can be reimbursed, and emergency inpatient medical expenses incurred in other places due to special reasons such as business trips, family visits, vacations, etc., shall be reimbursed according to the regulations of the insured place. In the case of an emergency, it is allowed to be treated nearby. After that, return to the local medical insurance agency for reimbursement according to the regulations with the valid voucher issued by the hospital.

If you are away for a long time, you can apply for medical treatment in other places in advance.

The first step is to fill in the "Long-term Remote Medical Treatment Filing Form" through the national remote medical treatment filing applet or to the local medical insurance handling department for filing; The second step is to select a designated hospital, generally speaking, most of the tertiary hospitals can be settled in different places for social security; The third step is to take our medical insurance card to the designated hospital for direct medical treatment.

If the medical insurance is in my hometown, can the medical insurance reimburse me for medical treatment in other places? How do I do it?

There is a very practical **, the country's 12333 official website, and then when you work and live in other cities, you can directly check which hospitals can directly do remote medical settlement, which will be particularly practical.

1. How to reimburse for medical treatment in other places.

1. The way to reimburse for medical treatment in other places is as follows:

1) Pay in advance and then reimburse. The patient shall bear all the medical expenses first, and then bring the hospitalization certificate, relevant bills and other materials to the medical insurance bureau where the insurance is located for reimbursement;

2) Direct billing. As long as you swipe the social security card, you can directly settle the expenses borne by the individual;

3) Offline filing. Bring your valid identity documents, social security cards and other relevant materials to the medical insurance agency where you are insured to go through the filing of medical treatment in other places;

4) Online channels. It can be handled through the National Medical Insurance Service Platform, the official website of the National Health Insurance Administration, etc.

2. Legal basis: Article 8 of the Regulations for the Implementation of the Social Security Law.

The medical expenses incurred by the insured persons in the agreed medical institutions shall be paid from the basic medical insurance in accordance with the provisions of the basic medical insurance in accordance with the standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facilities.

If the insured person really needs emergency treatment or rescue, he or she can seek medical treatment in a non-agreed medical institution; The scope of drugs that must be used for rescue purposes may be appropriately relaxed. 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.

2. What are the reimbursement conditions for medical insurance in other places?

The reimbursement conditions for medical insurance in other places are:

1. IC card, basic medical insurance medical card, green sticker**, or basic medical handbook for urban residents;

2. Valid receipts, documents and invoices;

3. Summary list of inpatient medical expenses, referral letter of medical insurance referral and transfer, and discharge certificate;

4. Hospitalization materials: the first page of the inpatient medical record, admission record, surgical record, discharge summary, large-scale examination report, long-term doctor's order, and temporary doctor's order, which need to be stamped with the seal of the medical institution.

Medical insurance reimbursement in other places.

The first thing is to go to the local hospital to get the relevant procedures that allow you to go to another place for medical treatment.

Then take the procedure of allowing medical treatment in other places to go through the local medical insurance department, and transfer the social security and medical insurance relationship of the hospital for medical treatment in other hospitals.

In this way, you can directly reimburse in a hospital in a different place after the acceleration of the hospital** in a different place.

Legal analysis: The reimbursement method of non-local medical insurance is as follows: if the reimbursement occurs in hospitalization, it is first necessary to report to the local medical insurance bureau for the record, and then when discharged, you can go to the local medical insurance bureau with the hospital's diagnosis certificate, discharge summary, medication schedule, medical expense receipt, medical guarantee and other documents.

Legal basis: Article 2 of the Social Insurance Law of the People's Republic of China Article 13 Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state.

Individually-owned industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexibly employed persons can 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.

Legal analysis: The reimbursement process for medical insurance for medical treatment in other places is as follows: 1. The insured person shall bring the discharge summary, invoice, medication schedule, and certificate of medical treatment issued by the unit to the local social security agency for reimbursement; 2. For hospitalization fees, drug fees, etc., you can go directly to the medical insurance office of the hospital to go through the settlement procedures.

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 the law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.

The process of reimbursement of medical insurance in other places is as follows:

1. When handling hospitalization registration: you need to show your medical insurance card and ID card, and the hospital will check the personal information and payment of the insured person in the medical insurance information system, and handle the admission procedures for you;

3. Discharge: If the hospitalization** meets the discharge criteria, the attending doctor will issue a discharge notice, and the insured person will go to the discharge office with the discharge notice and medical insurance card to go through the settlement procedures. Discharge with medication, generally not more than 7 days.

At the time of discharge, the insured or family members must sign and confirm on the "Guangzhou Medical Insurance Expense Settlement Statement".

Information Required:

1. The original and the front and back copies of the medical insurance card; Random shooting.

2. The original hospitalization invoice is stamped with the seal of the medical institution's charging business;

3. Summary list of hospitalization details;

4. Diagnostic certificate of loss materials stamped by medical institutions;

5. The first page of the inpatient medical record or admission record;

6. A copy of the discharge summary shall be stamped with the special seal for the management of medical records and archives of medical institutions.

Legal basisArticle 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 employee 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.

The expenses of emergency hospitalization in other places due to business trips, family visits, vacations, etc., shall be reimbursed in accordance with the specific provisions of the medical insurance measures of the place of insurance. In general, in case of emergency, close diagnosis and ** are allowed. How can medical insurance be reimbursed in other places?

1. How can medical insurance be reimbursed in other places?

1. The reimbursement ratio in other provinces is 30%, and the hospital invoice is taken to the local social security bureau for reimbursement.

2. Under special circumstances, due to business trips, family visits, vacations and other reasons, the cost of emergency hospitalization in other places will be reimbursed in accordance with the specific provisions of the medical insurance measures of the insurance place. In general, in case of emergency, close diagnosis and ** are allowed. After the end of the day, the local medical insurance agency will be reimbursed according to the regulations with a valid certificate issued by the hospital.

3. In addition, if the retired children have settled in Beijing, they can apply for the placement of retirees at the medical insurance center of the insurance district. Once this is done, they can choose one or two designated hospitals to seek medical treatment. The cost is paid by the person and then reimbursed by the health insurance center in the area where the insurance is covered.

4. For long-term non-resident employees, they can also apply for medical insurance resettlement, which is applied by the unit, and after doing so, they can choose one or two designated hospitals for medical treatment, and the expenses will be paid in advance first, and then reimbursed by the medical insurance center in the place where they are insured.

2. How to reimburse medical insurance in other places

Application in other places - first go to the medical insurance center of the insured city to apply for medical treatment in other places, receive three approval forms, find the medical insurance offices of three (or two) designated hospitals at different levels in different places to stamp, and then send them to the medical insurance center of the insured place for the record, you can be hospitalized in other places, cash advances, and send (or send back) to the medical insurance center of the insured place for reimbursement with the settlement of Liang Bi's bills, discharge summary, and daily list.