Is the reimbursement rate of remote hospitalization medical insurance the same as that of the local

The proportion of reimbursement in different places should be estimated according to the local ** regulations, and the policies of each place will be different, so you can prepare all the relevant materials first. Generally speaking, the reimbursement ratio of medical treatment in other places is lower than that of local medical treatment, and the reimbursement ratio of foreign medical insurance bought in local medical treatment is lower than that of local medical insurance, if it is a primary hospital, the local may be able to reimburse about 80, and only 40 60 in other places.

1. How to reimburse medical insurance in other places.

1. At present, there are 4 categories of people who enjoy direct settlement for medical treatment in other places:

1) Retirees resettled in other places: refers to residents who have retired and have moved to this place with their hukou.

2) Long-term residents in other places: refer to people who live in other places for a long time and meet the requirements of the place of insurance.

3) Resident staff in other places: refers to those who have worked in other places for more than one year due to work needs.

4) Non-local referrals: For example, if a person is hospitalized in city A, and the doctor recommends going to the hospital in city B**, this situation is a non-local referral.

2. In addition, ordinary citizens who want to reimburse for medical insurance in other places need to take the following steps:

1) First of all, when seeking medical treatment in a different place, each time you seek medical treatment, you need to collect receipts and lists, prescriptions, schedules, medical insurance manuals, and disease diagnosis certificates, which are all necessary materials for medical insurance reimbursement in other places.

2) At the same time, when seeking medical treatment in other places, a certificate of the grade of the hospital should be issued, submitted to the employer or the social security office for summarization, and reported to the district or county medical insurance center for review and settlement.

3) Then carry out the filing of the place of insurance. At present, the filing can be handled through the online channel**, or you can go to the local social security bureau to handle it in person. Due to the different requirements in different places, some areas also need a certificate of long-term residence in a different place, so you can call the Social Security Bureau for consultation before going for the record.

4) The social security agency at the place of medical treatment shall review the medical expenses according to the drug catalogue and diagnosis and treatment service items in the overall planning area, determine the expenses that meet the requirements of medical insurance settlement, and finally pay the reimbursement to the insured persons.

Extended information: Will someone be sent to the door after the medical insurance reimbursement?

Medical insurance reimbursement generally does not send people to the door.

Generally, no one will come down to investigate if the information, invoices, and documents for reimbursement are complete, unless there are special circumstances such as a large amount of money or incomplete information. But if it has already been reimbursed. After reimbursement, the medical insurance bureau generally will not come to investigate.

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

Article 2 The State shall establish a social insurance system of basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance, and so on, to ensure 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, and so forth.

Article 26 The standards for the treatment of basic medical insurance for workers, new rural cooperative medical care, and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

The reimbursement rate for remote medical insurance is the same as that for local medical insurance. It is also worth noting that there is no need to report emergency services locally.

Non-emergency cases must be reported. At the same time, whether the types of drugs, diagnosis and treatment items, and service facilities to be reimbursed for medical treatment in other places can be reimbursed depends on the local reimbursement scope of the city where the medical treatment is treated. 〈br〉

Non-local medical treatment means that you see a doctor in a different place**, but your reimbursement ratio is still the same as the local reimbursement ratio, but the starting line is different. If it is an emergency, you do not need to report it locally. Non-emergency must be reported, otherwise it cannot be reimbursed in other places and reimbursed back to the place where the medical insurance belongs.

When seeking medical treatment in other places, whether the reimbursement drug catalog, diagnosis and treatment items, and service facilities can be reimbursed depends on the local reimbursement scope of the city where the medical treatment is received. 〈br〉

Direct settlement of cross-provincial and non-local medical treatment refers to the basic medical insurance insured patients to the designated medical institutions outside the overall planning area for medical treatment, after going through the standardized filing procedures or referral procedures, the patient only needs to pay the self-payment part of the medical expenses, and the expenses within the scope of the basic medical insurance compensation can be directly compensated at the hospital window. 〈br〉

Retirees resettled in other places, long-term residents in other places, permanent staff in other places, and persons referred to other places who participate in the medical insurance for urban employees or medical insurance for urban and rural residents. Participants who participate in the new rural cooperative medical insurance and have cross-provincial and non-local medical needs due to long-term residence in other places, emergency treatment in other places, etc. 〈br〉

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 settled directly by the social insurance agency and the medical institutions and drug business units. 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.

br〉

1. Not the same 2. Generally speaking, the reimbursement ratio of medical treatment in other places is lower than that of the local one, and the reimbursement ratio of the medical insurance bought in the local area is lower than that of the local medical insurance, if it is a grassroots hospital, the local may be reimbursed about 80, and the non-local one is only 40 60. 3. Since the opening of the policy of medical insurance reimbursement in other places, it has been convenient for many people who work in other places, and at the same time, some elderly people who have settled down in other places with their children can also save the trouble of traveling and traveling. However, for medical treatment in other places, the reimbursement ratio of medical insurance is lower than that of local reimbursement, according to the reimbursement principle of the directory of medical treatment, the policy of the place of insurance, and the management of the place of medical treatment".

Questions. Huanggang's medical insurance reimbursement ratio is not the same for surgery in Jingzhou.

Good. I wish you a happy life [heart].