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Yes, the process of handling medical reimbursement in other places: before or within 3 days after hospitalization, call the hometown NCMS Consultation** to register and record the hospitalization and medical treatment; After being discharged from the hospital, a certificate of residence must be issued by the sub-district office or neighborhood committee at the place of residence, and if you are working outside the hospital, you must be issued a certificate of work by the work unit.
Legal analysisLost time pay is determined based on the victim's lost time and income. 3. Nursing fee: The nursing fee is determined according to the income status of the nursing staff, the number of nursing personnel, and the nursing period.
4. Transportation expenses: Transportation expenses are calculated based on the actual expenses incurred by the victim and his or her necessary escorts for medical treatment or hospital transfer. 5. Hospitalization meal subsidy:
The hospital meal subsidy may be determined with reference to the business trip meal subsidy standard for general staff of local state organs. 6. Nutrition expenses: Nutrition expenses are determined according to the victim's disability with reference to the opinions of medical institutions.
7. Disability compensation: Disability compensation shall be calculated for 20 years from the date of determination of disability according to the degree of the victim's loss of ability to work or the level of disability, and in accordance with the per capita disposable income of urban residents or the per capita net income of rural residents in the previous year at the location of the court where the lawsuit is filed. However, if the age is over 60 years old, the age shall be reduced by one year for each additional year; Those over the age of 75 are counted as five years.
Legal basisDetailed Rules for the Implementation of the Social Insurance Law Article 8 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 in accordance with the standards of the basic medical insurance drug list, 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.
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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 in accordance with the medical insurance of the place where they are insured.
The specific provisions of the measures shall be used for reimbursement of expenses. 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.
Normal use is not possible unless you are hospitalized in the emergency department.
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In reality, some people pay social security in one city, and their place of work may be in another city. In this case, how should you use your medical insurance card to seek medical treatment in a different place?
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The hometown medical insurance card can be used in other places. Medical insurance, in the traditional sense, refers to the management of a specific organization or institution. Rural medical insurance can be used across provinces.
If the medical insurance card is used in other places, it is necessary to go through the filing for medical treatment in other places before you can use the medical insurance card in other places. If the patient is hospitalized due to a sudden illness in a foreign country, it is usually necessary for the patient to contact the local medical insurance service center for medical treatment in another place for filing, and then the medical expenses incurred in the designated medical institutions of the basic medical insurance in other places can be reimbursed with the medical insurance card. The insured can directly use the medical insurance card at the medical institution for reimbursement settlement, or can also prepare the list of inpatient medical expenses, invoices for inpatient medical expenses, hospitalization summary and other materials, and then go to the local medical insurance service center to go through the reimbursement procedures after returning to the place of insurance.
Legal basisArticle 29 of the Social Insurance Law of the People's Republic of China.
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.
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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 the basic Shen chain 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 at the time of checkout, the self-paid part is paid by the balance of the medical insurance card or cash.
2. When reimbursing hospitalization, the money from 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.
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It can be used, because now a unified national social security network has been established, the joint insurance system has been implemented, and the geographical restrictions of the social security card have been broken and the multi-functional social security card has been realized.
Articles 14 and 45 of the Constitution stipulate that citizens have the right to receive material assistance from the State and society in the event of old age, illness or inability to work; The State shall establish and improve a social security system commensurate with the level of economic development. The social security system includes social insurance, social welfare, social assistance, social preferential care and social assistance. Social insurance is an important part of the social security system and occupies the core position in the entire social security system.
This law plays a pivotal role in regulating social insurance relations, promoting the development of social insurance, ensuring that citizens share the fruits of development, and maintaining social harmony and stability.
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.
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The non-local medical insurance card can be used locally, but the relevant procedures should be completed. People who often travel on business trips or are resettled in other places after retirement, and need to use their medical insurance cards in other places, need to register with the medical insurance center for the record, so that even if they see a doctor in a different place, the medical expenses after consumption can go to the place where the medical insurance is located for reimbursement. According to the relevant laws and regulations, 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 social insurance administrative department and the health administrative department shall establish a system for settling medical expenses for medical treatment in other places, so as to facilitate the insured persons to enjoy basic medical insurance benefits.
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The health insurance card cannot be used in other places. 1. According to the current policy, medical insurance should not be boring. However, the newly promulgated Social Insurance Law has a new provision that medical insurance can also be transferred with an individual, and it can only be operated after the new policy is implemented.
2. Medical insurance can generally only be used in the local area where the insurance is insured, and cannot be used across regions (except for special circumstances such as emergency treatment in other places). If you do not work in the insured area, the medical insurance should go through the procedures of "medical treatment in other places", otherwise, the expenses of medical treatment in other places cannot be reimbursed under normal circumstances.
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 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 social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places, so as to facilitate the insured to enjoy basic medical insurance benefits.
It is not possible to apply for resident medical insurance in other places, but only in the place of household registration, and you can apply for social insurance medical insurance in other places.
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