How to report medical insurance in a different place, and can medical insurance be reported in a dif

The procedures and materials for handling reimbursement in other places are:

Reimbursement of normal inpatient medical expenses for resettled persons shall prepare their own materials, including the "Medical Handbook" and "Urban Medical Insurance Identity Confirmation Form" (stamped by the hospital where they are treated); Fill in the Application Form for Reimbursement of Medical Expenses for Resettlement of Urban Employees and Long-term Personnel Resident Abroad for Basic Medical Insurance for Urban Employees and the Application Form for Reimbursement of Medical Expenses (stamped by the unit); Formal and valid invoices, discharge certificates, expense summary details, and copies of inpatient medical records (including the first page of inpatient medical records, admission and discharge records, doctor's orders, and the materials issued by the hospital must be stamped by the hospital, and the copies of inpatient medical records are stamped with the seal); The local medical insurance agency shall issue a certificate of the designated hospital and a certificate of hospital grade.

Retirees shall apply by individuals, and the content of the application shall indicate the basic information of the individual, the place of residence for the record and the city to which they belong (excluding Hong Kong, Macao and Taiwan), etc.; The application must be submitted by the unit, and the content of the application must indicate the basic information of the stationed personnel, the region where they have been working abroad for a long time, and the city to which they belong (excluding Hong Kong, Macao and Taiwan). In addition, it is also necessary to "Taiyuan City Urban Employee Basic Medical Insurance Resettlement and Long-term Residence List for Business Personnel" (stamped with the official seal of the unit) (in duplicate).

After the insured person goes through the filing in another place, he only needs to go to the designated hospital of the employee medical insurance in his place of residence for medical treatment. The inpatient medical expenses incurred by the insured persons in the place of filing shall be paid in advance first, and then reimbursed by the Municipal Medical Insurance Center according to the regulations after discharge.

Insured persons of basic medical insurance for urban employees who live in different cities in the province for a long time do not need to file in other places (proof of long-term residence or work in the place of residence must be provided when reimbursement); Those who live outside the province for a long time need to complete the pre-registration procedures in other places in order to enjoy the same treatment as Taiyuan employee medical insurance in their place of residence.

Persons insured by basic medical insurance for urban employees can apply for filing in other places at any time. The persons who are eligible to handle the filing in other places are: retired and retired personnel who live outside the city for a long time; Employees who have been stationed in other places for a long time due to work reasons.

Generally, it is necessary to provide the discharge record of the hospital, a copy of the doctor's order, a disease certificate, an invoice, a list of **、、、 and in some places, a copy of the relevant examination report of the hospital is required.

1. Generally, it cannot be used across regions;

2. Under special circumstances, emergency hospitalization medical expenses incurred in other places for business trips, family visits, vacations and other reasons shall be reimbursed in accordance with the specific provisions of the medical insurance measures of the place where the insurance is enrolled. In general, in the case of an emergency department, 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.

3. In addition, if you have retired and your children have settled in Beijing, you can apply for retirees to be resettled in other places by going back to the medical insurance center of the insured place, and you can choose one or two designated hospitals for medical treatment after doing so, and the expenses will be paid in advance first, and then you will go back to the medical insurance center of the insured place for reimbursement.

4. For long-term overseas employees, they can also apply for medical insurance for resettlement in other places, which can be applied for 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.

Ping An commercial medical insurance can be reported both in the place of accident and in return.

Medical insurance can be reimbursed in other places, but the following three conditions need to be met:

1. Participate in the insurance on time in the place of insurance and within the treatment period;

2. Collect and activate the social security card in the place of insurance;

3. Filing for medical treatment in other places in the insured place.

The process of handling medical reimbursement in other places:

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 going directly to the hospital outside 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 the other place for hospitalization**.

Legal basis]:

Article 26 of the Social Insurance Law of the People's Republic of China.

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 the provisions of the state.

Article 28.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

Hello, I am happy to serve you and give you the following answers: 1. Reasons: 1. Medical insurance reimbursement refers to a reimbursement method for medical treatment in medical institutions other than medical insurance designated institutions, and reimbursement by medical insurance designated institutions.

2. Due to the limited scope of medical insurance designated institutions, sometimes patients need to go to other places for medical treatment, and then they need to be reimbursed by medical insurance in other places. 2. Solution: 1. First of all, patients need to prepare their own medical insurance card and register with the local medical insurance designated agency before seeking medical treatment, so as to facilitate subsequent reimbursement.

2. When seeking medical treatment, patients need to issue their own medical insurance card to the hospital and provide relevant medical information for reimbursement by the hospital. 3. After seeking medical treatment, the patient needs to submit the reimbursement documents to the local medical insurance designated agency for reimbursement. 4. After the reimbursement is completed, the patient can receive the reimbursement at the designated institution of the medical insurance.

3. Personal tips: 1. Before seeking medical treatment, you must register with the local medical insurance designated agency to facilitate the subsequent reimbursement of the file. 2. When seeking medical treatment, you must provide your own medical insurance card and relevant medical information to facilitate reimbursement by the hospital.

3. After seeking medical treatment, you must hand over the reimbursement documents to the local medical insurance designated agency for reimbursement. 4. After the reimbursement is completed, you must receive the reimbursement at the medical insurance designated judgment agency.

Summary. Hello, glad for your question. The reimbursement method of medical insurance in different places is as follows:

First go to the medical insurance center of the insured city to apply for medical treatment in other places, receive three copies of the approval form, find the medical insurance office of three (or two) medical insurance designated hospitals at different levels in different places to stamp, and then send it to the medical insurance center of the insured place for the record, you can be hospitalized in other places, cash advance, with the settlement bills, discharge summary, daily list sent back (or sent back) to the medical insurance center of the insured place for reimbursement.

Ask, I'm hospitalized in a different place, and I'm discharged, can I still apply for medical insurance?

Medical insurance is from the hometown.

Hello, glad for your question. The reimbursement method of medical insurance in different places is as follows: first go to the medical insurance center of the insured city to apply for medical treatment in other places, receive three copies of the approval form, find and change the medical insurance office of three (or two) medical insurance designated hospitals with different nuclear Tongliang levels in other places, and then send it to the medical insurance center of the insured place for the record, you can be hospitalized in the remote cruise, cash advance, and send it back (or send back) to the medical insurance center of the insured place for reimbursement with the settlement bill, discharge summary, and daily list.

Dear, if you go to the medical insurance center where your hukou is located to file before you are hospitalized, you can be reimbursed in another place.

There is no record, I have been discharged from the hospital, is it too late to file now.

Dear, if you don't have a record, you can't be reimbursed, and it's too late to file now.

Then you can send it back to your hometown for reimbursement.

Dear, no, you have to file with the local medical insurance center before you can be reimbursed, which is a prerequisite.

Dear, you have been discharged from the hospital now, and you should file before you are hospitalized.

Then I don't understand this, and now I'm discharged from the hospital, and I can't get it.

Dear, yes, next time there is such a situation, you must go to the record in advance.

Ok thanks.

The main responsibilities of the medical insurance center are as follows: 1. Establish files for employers and individuals in a timely manner, record the social insurance data such as the payment of social insurance and the enjoyment of social insurance benefits by the department in a complete and accurate manner, and collect and keep relevant original vouchers; 2. Provide employers and individuals with inquiries and verification of their records of payment and social insurance benefits, and provide social insurance consultation and other related services; 3. Pay social insurance and medical insurance benefits on time and in full; 4. Establish and improve the risk management system for business, safety and acquisition.

1. Shouting is a non-local reimbursement ** diagnosis within the province). First of all, consult the specific reimbursement policy of the New Rural Cooperative Medical System of the Social Security Bureau, and go to the local Social Security Bureau for the record after the local hospital issues a referral letter for rubber removal. Then, after going through the hospitalization procedures at the higher-level hospital, you can directly receive the reimbursement subsidy when you are discharged.

2. Reimbursement in other places is outside the province). Assuming that the starting line for medical treatment outside the province is 2,000 yuan, and the compensation ratio is 35% to 65%, but considering the inconsistent reimbursement policies in various places, then the actual compensation ratio may be lower when all are calculated. It is important to remind everyone that the referral certificate is not so easy to prescribe, and the condition for issuance is usually that there is no ** equipment for this disease in the local area, so it will be easy to transfer from the county to a higher-level hospital.

However, it is very difficult to transfer from a hospital in the provincial capital city to Beijing. 3. Reimbursement in other places (non-referral). Given the many restrictions on referrals, many people go to other cities on their own without referrals.

Then, according to the example of Liang Zao's old prescription, if the referral is not considered, then the actual reimbursement ratio may not even be 35%, and the reimbursement ratio will only be between 0% and 35%. If the employee medical insurance is used to calculate, assuming that in Shenzhen, the reimbursement ratio is 90%, in the case of medical treatment in a different place without referral, the inpatient medical expenses incurred must be paid in cash first, and then apply for reimbursement to the social security institution according to the relevant documents and information, and the reimbursement ratio will be reduced by 30 percentage points. For those who have not been referred to the mainland for medical treatment, the inpatient medical expenses incurred in designated hospitals outside Shenzhen can be directly billed with the medical insurance card, and the reimbursement ratio will be reduced by 10 percentage points.

Therefore, the reimbursement ratio for remote medical treatment and hospitalization is between 60% and 80%, but the reimbursement must meet the reimbursement scope.

If you are reimbursed by medical insurance in other places, you need to bring the certificate of emergency diagnosis in the local hospital, the copy of the hospitalized case, the discharge section, etc. (all need to be stamped and confirmed by the hospital), and also bring the medical invoice and medicine, check list, etc., to the designated department in the place where the insurance is located to apply and record.

Legal basis]:Article 8 of the Regulations for the Implementation of the Social Insurance 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 state.

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.

[Legal Analysis].1. According to the policy of urban residents' medical insurance, the insured must first register and file with the medical insurance agency in the place where the insured seeks medical treatment. (If an emergency patient needs to be hospitalized in a timely manner if he or she is sick in another place, he or she shall report to the local medical insurance agency** within 3 days after hospitalization), among which the medical expenses incurred by the insured must be paid in full by the individual first.

2. Within one month after discharge, the insured person can go through the medical expense reimbursement procedures at the medical insurance agency where the household registration is located with the ID card, household registration booklet, resident medical insurance card, discharge certificate, medical expense invoice and hospital expense list, non-local residence certificate or temporary residence permit.

3. When the medical personnel are hospitalized, they must report to the medical insurance center of the insured place for the record, and if the insured person does not go through the reporting procedures in accordance with the regulations, the medical insurance institution may not reimburse the medical expenses incurred in the hospitalization.

When reimbursement is made in other places, it is necessary to register and file with the medical insurance agency in the place where the insurance is enrolled, and the medical expenses incurred should be paid in advance by the individual. After discharge, some supporting materials for reimbursement should be reimbursed to the medical insurance agency where the insured person's household registration is located for reimbursement of medical expenses.

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 auspicious return pants, medical service facilities and medical service facilities, as well as emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance ** payment.

The above is only the current information combined with my understanding of the law, please refer to it carefully!

If you still have questions about this issue, it is recommended that you organize the relevant information and communicate with a professional in detail.