Can out of town outpatient clinics be reimbursed by medical insurance?

Non-local medical insurance outpatient services can be reimbursed.

If they live in a different place for a long time and meet the requirements of the place where they are insured, they need to apply for a record of resettlement in the place of insurance, be hospitalized in a hospital that is included in the settlement system for medical treatment in other places, and directly settle the medical expenses with their new social security card.

The process of reimbursement for remote medical insurance is as follows:

1. Declaration form for people who work and live in other places to receive basic medical insurance;

2. Fill in the declaration form stamped and recognized by the foreign medical insurance agency according to the regulations;

3. After filling out the declaration form, take it back to the social insurance agency responsible for the division of labor for review, and confirm, if you need to apply for a medical card in the province, you will register with the audit department of the municipal social security center with the declaration form after review and confirmation, and then go to the social security card management department to handle the card production procedures of the province's remote network card.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease. Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation. The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and the members of the society, coupled with the best funding, which can enable the sick members of the society to obtain the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick members of the society from becoming poor due to illness.

Health insurance, like other types of insurance, is a contract that collects premiums in advance from people at risk of illness to establish health insurance**. When the insured falls ill and goes to a medical institution for medical treatment and incurs medical expenses, the medical insurance institution will give certain financial compensation. Therefore, medical insurance also has two major functions of insurance, risk transfer and compensation transfer.

That is, the economic loss caused by the risk of disease in the individual is apportioned to all members who are threatened by the same risk, and the economic loss caused by the disease is compensated by the centralized medical insurance**.

[Legal basis].

Social Insurance Law of the People's Republic of China

Article 4 Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with law have the right to inquire about payment records and records of individual rights and interests, and to request social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise their own units' contributions for them.

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.

Reimbursement can be made for medical treatment in other places, provided that the filing of medical treatment in other places has been completed.

The following documents are required:

1. Referral certificate. If you want to use your medical insurance card to reimburse you for medical treatment in other places, you must first issue a referral certificate in a local hospital, which needs to be in a slightly larger local hospital, at least a county-level hospital or above.

2. Hospital stamp. After the referral certificate is issued in a hospital at or above the county level, it needs to be stamped, and this seal is not the seal of any hospital, but must be the seal of the social security window of the hospital that opened the referral certificate.

3. Registration with the Social Security Bureau. After issuing the referral certificate and stamping the hospital, go to the local equipment bureau with the relevant materials for registration, which is mainly for filing with the social security bureau and facilitating the reimbursement of medical insurance in other places in the future.

4. Hospital invoice. The reimbursement for seeing a doctor in a different place is mainly the reimbursement of hospitalization, and after seeing a doctor, let the hospital issue an invoice, and be sure to keep the invoice, which is the basis for reimbursement.

6. Outpatient reimbursement. Generally, the cost of hospitalization is more troublesome to be reimbursed in other places, but if the reimbursement is for outpatient expenses in other places, there is no need to be so troublesome, and you only need to bring back the invoice to the Social Security Bureau for reimbursement.

Summary. A: Yes, out-of-town outpatient services can be reimbursed by medical insurance.

According to the Regulations on the Implementation of Medical Insurance, the insured can be treated in medical institutions in the province, or in medical institutions outside the province, and can enjoy medical insurance treatment. However, medical treatment in other places needs to go through the procedures for medical treatment in other places in advance, and only medical services provided by designated institutions in this province can enjoy medical insurance reimbursement. In addition, the reimbursement ratio for medical treatment in other places will also be different, which is generally implemented according to the reimbursement ratio of the province, but there are some special circumstances that will be different.

A: Yes, out-of-town outpatient services can be reimbursed by medical insurance. According to the "Regulations on the Implementation of Medical Insurance", the insured can be treated in medical institutions in the province, or in medical institutions outside the province, and can enjoy medical insurance treatment.

However, medical treatment in other places needs to go through the procedures for medical treatment in other places in advance, and only medical services provided by designated medical insurance institutions in this province can enjoy medical insurance reimbursement. In addition, the reimbursement ratio for medical treatment in other places will also be different, generally in accordance with the reimbursement ratio of the province, but there are some special circumstances that will be different.

You've done a great job! Can you elaborate on that?

Generally speaking, out-of-town outpatient services can be reimbursed by medical insurance, but certain conditions must be met. First of all, the patient must be registered with the local medical insurance agency and hold a local medical insurance card in order to use the medical insurance report for missing sales when visiting a person in another place. Secondly, patients must hold a local medical insurance limb card when visiting a different place, and before the visit, the patient needs to register for a visit in a different place at the local medical insurance agency, so that the medical insurance agency can review and reimburse in a timely manner.

Finally, when patients are treated in other places, they must go through the reimbursement procedures at the medical insurance window of the hospital where they are treated, so that the medical insurance agency can review the reimbursement in a timely manner. Personal tip: When visiting a person in a different place, patients should understand the relevant regulations of local medical insurance reimbursement in advance, and register for remote treatment before the visit, so as to facilitate the timely review of the reimbursement of Lijinhong.

At the same time, patients should also pay attention to keep the medical voucher so that they can complete the reimbursement procedures smoothly when reimbursing.

Summary. OK. Out-of-town outpatient clinics can be reimbursed by medical insurance, and the following conditions need to be met:

1.The place of medical treatment and the place of insurance must belong to the same province, and the province has realized direct settlement for medical treatment across provinces and places. 2.

The hospital where the medical treatment is received must be a designated hospital for medical insurance, and the hospital has opened a direct billing service for cross-provincial and non-local medical treatment. 3.Patients must have a valid health insurance card and present valid documents such as a health insurance card and ID card at the time of medical treatment.

4.When seeking medical treatment, you need to pay out of pocket first, and then go to the medical insurance window of the designated hospital for reimbursement. It should be noted that there are differences in medical insurance policies and reimbursement standards in different provinces, and the specific situation needs to be determined according to the local medical insurance policy.

I don't have that medicine in Xi'an Provincial People's Hospital, can I be reimbursed if I want to take medicine in Xi'an outpatient clinic? Etanercept.

OK. Non-local outpatient circular infiltration diagnosis can be reimbursed by medical insurance, and the following conditions need to be met:1

The place of medical treatment and the place of insurance must belong to the same province, and the province has realized direct settlement for medical treatment across provinces and places. 2.The hospital where the medical treatment is sought must be a designated hospital for medical insurance, and the hospital has opened a direct settlement service for cross-provincial medical treatment.

3.Patients must have a valid health insurance card and present valid documents such as a health insurance card and ID card at the time of medical treatment. 4.

When seeking medical treatment, you need to pay out of pocket first, and then go to the medical insurance window of the designated hospital for reimbursement. It should be noted that there are differences in medical insurance policies and reimbursement standards in different provinces, and the specific situation needs to be determined according to the local medical insurance policy.

Out-of-town outpatient clinics can be reimbursed by medical insurance, but the following conditions need to be met:1The place of medical treatment and the place of insurance must belong to the same province, and the province has realized direct settlement for medical treatment across provinces and places.

2.The hospital where the medical treatment is sought must be a designated hospital for medical insurance, and the hospital has opened cross-provincial and non-local medical treatment and direct billing services. 3.

Patients must have a valid health insurance card and present valid documents such as a health insurance card and ID card at the time of medical treatment. 4.When seeking medical treatment, you need to pay out of pocket first, and then go to the medical insurance window of the designated hospital for reimbursement.

Yes pro. To Xi'an, can the Provincial People's Hospital outpatient clinic take enerercept reimbursement?

Yes, if you do not have the medicine you need to use during your hospitalization in Xi'an Provincial People's Hospital in Hubei, and you need to take the medicine at the Xi'an Gate Socks Clinic, then you can use the medical insurance for reimbursement. However, the following conditions need to be met:1

The place of medical treatment and the place of insurance must belong to the same province, and the province has realized direct settlement for medical treatment across provinces and places. 2.The place of medical treatment must be a designated hospital for medical insurance, and the hospital has opened a direct billing service for cross-provincial and remote medical treatment.

3.Patients must have a valid health insurance card and present valid documents such as a health insurance card and ID card at the time of medical treatment. 4.

The drug needs to be in the medical insurance list and meet the medical insurance reimbursement criteria. It should be noted that there are differences in medical insurance policies and reimbursement standards in different provinces, and the specific situation needs to be determined according to the medical insurance policy of the local area. At the same time, the proportion of medical insurance reimbursement will also vary according to the different drugs.