How to use the medical insurance card in other places? 10

Check with your local social security office.

Whether to enable cross-provincial and non-local use services.

Step 1: Filing an ICP filing.

The first filing refers to the need for the insured to be filed in the handling agency of the insured place before seeking medical treatment across provinces, and the agency collects the necessary information.

First, it is necessary to explain clearly what the reason for filing is, whether you are going out to live or resettle in another place, or working outside, or being referred to another hospital, and tell the handling agency the reason.

The second is where to go. After the agency collects these two key information, it is transmitted to the national settlement system, to the relevant regions and medical institutions, and other information is available on the social security card, such as name and card number, which does not need to be collected separately.

Step 2: Select the point.

The selection point means that the masses need to choose a designated medical institution (note that it is a cross-provincial designated medical institution), such as choosing to go to Beijing and Shanghai to see a doctor, and to go to the designated medical institutions in these places for cross-provincial and remote medical treatment. You can check what institutions are, what level, and where they are on the published ** in real time. The range of medical institutions that insured persons can choose from in other places is getting larger and larger.

Step 3: Seek medical treatment with the card.

The most critical step is to register and settle the discharge with the card. Patients must use their social security card, and they must use the card for admission and settlement. Whether it is an employee medical insurance insured person or an insured person of urban and rural residents, as long as the filing is carried out in accordance with the regulations and the corresponding procedures are performed, they can enjoy the direct settlement of cross-provincial and non-local hospitalization expenses.

Precautions for reimbursement of medical insurance for medical treatment in other places.

1. Reimbursement principle: the directory of medical treatment places, and the reimbursement ratio is determined by the insured places;

2. If there is a problem with reimbursement, find the agency in the place of medical treatment to solve it;

3. There is no need for various stamping certificates for filing;

4. If the procedures are complete but cannot be reimbursed, it is necessary to apply to the regional social security agency for the error handling mechanism.

Legal analysis: medical insurance is managed in accordance with the principle of territoriality, and the funds on the medical insurance card are allocated by the counties and municipalities according to the payment of the insured personnel. Therefore, the medical insurance card cannot be used across cities, and the medical insurance card can only be used in its designated outpatient clinics and pharmacies, and cannot be mixed with the designated outpatient clinics and pharmacies directly under the city.

If you are hospitalized, you can use it.

Legal basis: Article 8 of the Detailed Rules for the Implementation of the Social Insurance Law of the People's Republic of China The medical expenses incurred by the insured persons in the agreed medical institutions meet the standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facilities, and shall be paid from the basic medical insurance in accordance with national regulations. 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.

The medical insurance card can be used in other places, but it needs to be filed in advance.

If the insured person seeks medical treatment in a different place, he or she needs to go through the basic medical insurance referral filing procedures or permanent residence (resident) in another place in advance, and can only be reimbursed in another place after seeking medical treatment in a designated hospital of social security at level 2 or above of a different doctor.

Remote ICP filing process:

1. Filing: Filing with the district and county-level social security center where the medical insurance is located, the employee's medical insurance shall be subject to the place of work, bring your ID card and social security card, and fill in the "Registration Form for Medical Treatment in Other Places".

2. Select a designated hospital.

After filing, it is not possible to go to a hospital to see a doctor and settle directly, but only in a designated hospital that has been connected to the network.

2. Medical insurance card treatment: cross-provincial and remote medical treatment, some hospitals can directly reimburse and settle at the manual window in the hospital hall when reimbursement, and if it is an outpatient expense, you have to pay it in advance first, and then go back to the insured place for reimbursement. The reimbursement ratio and scope are also slightly different in different regions, and the medical insurance policy of the insured place will prevail in the same province and different places.

Note: The medical insurance card holder should activate the social security card within 6 months after receiving the card, during which the medical insurance card can still be used normally, and the original medical insurance card will be automatically invalid after activating the social security card.

1. Be sure to carry your medical insurance card with you, and activate it in advance, many elderly people have not activated their medical insurance cards, and they can't use them when they report (don't ask me how I know).

2. Prepare in advance before hospitalization: long-term residents in other places can report in advance, but they must promise not to change the place of medical treatment within half a year, and temporary out-of-office personnel are limited to the current hospitalization record, and must be filed in advance when they are hospitalized, so that they can be settled in real time with the medical insurance card, and there is no need for troublesome reimbursement in the later stage. (Find out in advance whether the nearest hospital can be settled in real time, what I learned on *** is to support some hospitals, and it should be okay to play social security**).

4. It is recommended that young people go to the early stage of data preparation and later reimbursement, and many elderly people were sent back because of incomplete reimbursement materials. If it is a follow-up reimbursement, you must understand the required information with the social security center in advance, because the sports hospital may not give all, such as the discharge summary and hospitalization files, some hospitals have to be discharged for how long to go to the archives to copy, now many hospitals are electronic medical records, and some hospitals may not print them out if they do not require the hospital, and these reimbursements are required).

5. The proportion of settlement and reimbursement in different places is limited, first of all, social security can only be reimbursed within the scope of the social security catalog, my family's policy: 3500 can be deducted within the scope of social security, and then 20% of the remaining can be reimbursed, and finally 50% can be reimbursed. Assuming that a total of 100,000 yuan was spent on remote settlement, 20,000 yuan was self-financed medicine, and 80,000 yuan was within the scope of social security, the expenses that could be reimbursed = ((100,000-20,000)-3500) * 80% * 50% = 10,000.

1. How to use the medical insurance card in other places.

1. Filing. Before going to a different place for medical treatment, bring your ID card and medical insurance card, go to the medical insurance center in the place of insurance for filing, and determine the place of treatment and the institution of treatment.

2. Hold a medical insurance card and social security card for medical treatment.

The insured can directly reimburse the medical expenses by using the medical insurance card and social security card, going through the hospitalization registration procedures and discharge settlement procedures.

2. How to handle medical insurance in other places.

1. Personnel seeking medical treatment in other places must go to the medical insurance agency in the area where the insurance is insured and co-ordinated by the "social security card" to go through the registration, approval and filing procedures for medical treatment in other places;

2. After the approval and filing, the personnel seeking medical treatment in other places shall implement designated medical treatment in line with the principle of proximity and convenience, and generally can choose 1 to 3 designated medical institutions in their place of residence as designated medical institutions for medical treatment in other places, with a period of one year. If you need to seek medical treatment in other places due to special circumstances such as business trips to other places or return to your hometown (other places) to visit relatives (short-term settlement in other places), tourism, etc., you should go to the insurance co-ordination area within three days after the emergency treatment to go through the application and approval procedures for medical treatment in other places, and special circumstances can be temporarily notified. When there is a change in the place of residence or a change in the condition of the person seeking medical treatment in another place and it is necessary to change the designated hospital, he or she must go to the place where he or she is insured to go through the filing procedures again.

3. Persons seeking medical treatment in other places should hold the "social security card" issued by the insurance co-ordination area to seek medical treatment in the selected designated medical institutions, and the diagnosis and treatment expenses incurred shall be directly settled by online credit card according to the medical insurance policy of the insurance co-ordination area (including outpatient and inpatient co-ordination). If the real-time online settlement cannot be made due to various reasons such as network failure or imitation search arrears blockade, the medical personnel in other places shall pay the full amount in advance and bring the relevant reimbursement vouchers to the medical insurance agency in the place of insurance for reimbursement.

4. The expenses incurred in other places should be paid by the medical insurance, in line with the principle of actual settlement, by the medical insurance agency in the place of medical treatment on behalf of the settlement, and the medical insurance agency in the medical insurance co-ordination area and the medical insurance agency in the other place of medical treatment shall settle each other's advance expenses on a regular basis.

3. What information is required for remote medical insurance reimbursement?

1. Referral certificate from county-level hospital or above.

2. The seal of the hospital's social security window.

3. Go to the local social security office to register for going out.

4. After going out, take the above information back to the county-level social security bureau for reimbursement.

Detailed Rules for the Implementation of the Social Insurance Law of the People's Republic of China

Article 7. Article 27 of the Social Insurance Law stipulates that the number of years for retirees to enjoy basic medical insurance benefits shall be implemented in accordance with local regulations.

Individuals who participate in the basic medical insurance for employees, when the basic medical insurance relationship is transferred and continued, the basic medical insurance payment period is cumulatively calculated.

Detailed Rules for the Implementation of the Social Insurance Law of the People's Republic of China

Article 27.

The prescribed payment period for retirees to enjoy basic medical insurance benefits shall be implemented in accordance with local regulations.

Individuals who participate in the basic medical insurance for employees, when the basic medical insurance relationship is transferred and continued, the basic medical insurance payment period is cumulatively calculated.

Summary. Hello dear, happy to answer your <>

Within one month after discharge, patients can go to the medical insurance agency where their household registration is located to go through the medical expense reimbursement procedures with their household registration booklet, a copy of the patient's ID card, a resident medical guarantee (card), an invoice and a detailed list of medical expenses, a discharge certificate, a certificate of residence in another place or a temporary residence permit.

How to use the medical insurance card in other places?

Hello dear, happy to answer your <>

Within one month after discharge, patients can go through the medical expense reimbursement procedures at the medical insurance agency where their household registration is located with their household registration booklet, a copy of the patient's ID card, a resident defense medical guarantee (card), an invoice and a detailed list of medical expenses, a discharge certificate, a certificate of pure residence or a temporary residence permit in a different place.

The following is a collation of relevant information for you, I hope it will be helpful to you: Article 32 of the "Social Insurance Law" stipulates that if an individual is employed across the overall planning area, his basic medical care such as disturbing the insurance relationship shall be transferred with him/herself, and the annual payment limit shall be cumulatively calculated.

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 basic medical insurance**:

Li So4) seeking medical treatment abroad.

Dear, take a look at the second reply.

If you want to use medical insurance for medical treatment in other places, you must first pay the full amount of medical expenses in advance, and within one month after discharge, patients can go to the medical insurance agency where their household registration is located to go through the medical expense reimbursement procedures with their household registration booklet, a copy of the patient's ID card, a resident medical guarantee (card), an invoice and a detailed list of medical expenses, a discharge certificate, a certificate of residence in Yuanling or a temporary residence permit in the place where they are registered.

If you need to use the medical insurance card in other places, you need to take out the money to pay in advance, and then wait until you return to the local city, you need to go to the medical insurance to declare before you can get the medical insurance card, which requires a series of supporting materials such as the certificate of purchasing drugs, which also includes the cost of drugs required for hospitalization. The medical insurance card can be used in other places, but the process is more cumbersome, if the supporting materials are incomplete, it will also affect the reimbursement, and even the expenses will not be reimbursed, which is equivalent to the loss of the medical insurance card. But then again, although the medical insurance card can be used, it is also used indirectly, and it is not the same as people imagine that the bank card needs to be deducted for inter-bank use.

For some people who are hospitalized in other places, if they need to reimburse the expenses, they need to pay attention to contacting the local medical insurance center in time, and collect the proof materials according to the prompts of the medical insurance center, which will be more convenient, these are the ways to use the medical insurance card in other places.

Legal basis

Article 28 of the Social Insurance Law of the People's Republic of China in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and medical expenses for emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations.

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.