I paid the medical insurance in other places, can I apply for chronic diseases when I return to the

The condition is relatively stable, it does not have to be hospitalized, it needs long-term ** medication, and if there is no reimbursement, the economic pressure is greater, "special outpatient clinic."

**Part of the cost can be reimbursed** to reduce the financial pressure of patients.

1. What are "special outpatient" diseases and what are the specific diseases? What are the rules on the quota standard and the period of entitlement to benefits?

"Special outpatient" is a popular term, which actually refers to chronic diseases, serious diseases and special diseases with a clear clinical diagnosis, relatively stable condition, little change in the first plan, need to be in the outpatient clinic for a long time (or a clear period), and meet the requirements for reimbursement of medical expenses. The types of diseases, quota standards and enjoyment periods are shown in the following table:

Suffer from the above diseases and meet the basic medical insurance of our province.

Outpatient chronic special disease identification standards and scope of diagnosis and treatment may apply for "special outpatient clinic"**.

2. How to apply for "Special Outpatient Clinic"**?

1) What materials do I need to submit when applying?

In general, there are 2 types of documents that need to be provided when applying:

2. Medical records provided by secondary or above medical institutions in the past year.

Seal. 2) To which institution to apply for "special outpatient clinic"?

1. The applicant shall apply to the designated medical institution for outpatient chronic special diseases in the insured place, submit the "Hainan Provincial Basic Medical Insurance Outpatient Chronic Special Disease Identification Form" and related materials, which shall be reviewed by the designated medical institution and submitted to the medical insurance agency for review and identification.

2. After organ transplantation (heart, kidney, liver, lung, bone marrow), heart valve replacement and anticoagulation, chronic renal failure (hemodialysis.

Hemoperfusion and peritoneal dialysis.

Urinary system. Seismic wave lithotripsy**, the applicant should submit an application at a designated medical institution, which will be directly identified by the designated medical institution.

3. Persons living in other places should apply directly to the medical insurance agency and submit the "Hainan Provincial Basic Medical Insurance Outpatient Chronic Special Disease Identification Form" and medical records, examination reports, disease diagnosis certificates and other relevant materials stamped with the medical record seal of the medical institution, which shall be directly identified by the medical insurance agency.

3. How to apply if I have multiple diseases that meet the requirements of outpatient chronic special diseases?

Except for viral hepatitis C.

In addition to macular degeneration and urinary shock wave lithotripsy**, patients can enjoy up to 2 types of "special outpatient" treatment at the same time.

4. After the "special outpatient clinic" is identified, the patient goes to **outpatient clinic**?

1. Patients can choose a medical institution to see an outpatient clinic in accordance with the principle of proximity and convenience, and will not be changed for one year after selection. There is no annual minimum payment line for "special outpatient" patients in first-level medical institutions**.

2. If it is necessary to change the ** hospital due to the relocation of residence, illness and other reasons, hold a social security card and ID card.

or the approved "Hainan Provincial Basic Medical Insurance Outpatient Chronic Special Disease Identification Form" to the medical insurance agency to apply for change. You can also go to the Hainan Provincial Human Resources and Social Security Online Hall (**.

There are certain procedures for out-of-town referral and transfer, and you should apply for a non-local referral and transfer before going out for medical treatment, and if approved, you will pay the full amount in cash first, and then return to the local area for reimbursement. The reimbursement ratio and scope are based on local medical insurance policies.

I pay medical insurance in other places, can I get a chronic disease when I return to my area?

Hello, you can, but there are conditions, you need to file first. Conditions for reimbursement of cross-regional medical treatment for chronic disease medical insurance: 1. Insured persons who have gone through the registration and filing procedures for medical treatment in other places such as resettlement, family visits, work and study abroad, etc., and pay cash in cash for medical expenses incurred in designated medical institutions for medical insurance in other places.

2. The situation that the insured personnel at the provincial level are transferred to the designated medical institutions of Beijing and Shanghai medical insurance for the medical expenses incurred by Wang Nianyi in cash after the approval of the record.

Chronic disease cards can be handled in other places. Urban employees (residents) who have lived in other places for a long time and have gone through the formalities for resettlement and medical treatment in other places and have registered for the record, and who are eligible to apply for outpatient chronic diseases, may apply for outpatient chronic diseases in other places. First of all, fill in the "Application Form for Outpatient Silver or Special Diseases of Basic Medical Insurance for Urban Employees" at the social security agency, select Yifengdan Wujia Hospital as the designated hospital for outpatient chronic diseases, and prepare an inpatient medical record reflecting the relevant conditions.

When declaring, it is necessary to submit the "Application Form for Special Diseases in the Outpatient Department of Basic Medical Insurance for Urban Employees" and inpatient medical records, which shall be submitted to the expert group of the regional human resources and social security bureau for review. After approval, the applicant will be notified to register with the social security agency.

Summary. Hello, chronic disease medical insurance can not be used in other places, unless it is filed in other places in advance1, because social security has not yet achieved national networking, and medical insurance is a city-level overall planning, so the foreign social security system does not have your insurance payment information, so there is no way to pay by card. 2. In many cases, it is necessary to apply to the local social security bureau in advance for the use of medical insurance cards in other places, although the current policy has allowed the transfer of medical insurance cards to other places.

3. However, there is still a regional gap in the use of medical insurance cards, and the use of medical insurance cards in different places is still subject to certain restrictions. It can only be used across regions after approval and approval.

After the community medical insurance is transferred to Shenzhen, can it still be prescribed in the original designated hospital?

Hello, chronic disease medical insurance can not be used in other places, unless it is filed in other places in advance1, because social security has not yet achieved national networking, and medical insurance is a city-level overall planning, so the foreign social security system does not have your insurance payment information, so there is no way to pay by card. 2. For the remote use of the medical insurance card, in many cases, it is necessary to apply to the local social security bureau, although the current policy has allowed the transfer of the medical insurance card to another place. 3. However, there is still a regional gap in the use of medical insurance cards, and the use of medical insurance cards in different places is still subject to certain restrictions.

It can only be used across regions after approval and approval.

How to file an ICP filing. Chronic disease filing under medical insurance.

The declaration process of chronic diseases in different places: 1. After paying medical insurance on time, going through the resettlement procedures and chronic disease register, the outpatient expenses of chronic diseases incurred in the selected hospital will be placed in the area where the social security card is settled immediately, and the outpatient expenses incurred in the selected hospital will be settled immediately; 2. A copy of the relocation form. Original outpatient invoice.

The original of the expense details corresponding to the outpatient invoice shall be stamped with the official seal. The prescription corresponding to the outpatient invoice must indicate the dosage and be stamped or the examination report. A copy of the Chronic Disease Register.

A copy of the ID card of the reimbursement; 3. The reimburser's social security card or bank card copy and the person who uses the bank card of the place where the bank is destroyed and resettled shall write the full name of the bank on the copy of the bank card. If it is handled for the client, it is necessary to provide a copy of the power of attorney and the ID card of the entrusted person; 4. Submit application materials and handle business review. Review.

financial benefits; 5. The materials are complete and will be completed within 15 working days. One-time notification of incomplete materials; 6. The insured person who handles the settlement of medical insurance for medical treatment in other places has gone through the registration and filing of cross-provincial and remote medical treatment in accordance with the regulations. Non-local hospitals for medical treatment have opened direct settlement for remote medical treatment nationwide.

Social security cards with complete information that can be used for medical treatment, NCMS and urban residents' medical insurance cards; 7. Apply for the filing of cross-provincial and non-local medical treatment, choose a designated hospital that supports the direct settlement of medical treatment in other places across the country, and the insured person registers and admits to the hospital with the card.

Summary. Hello dear, how to transfer chronic disease medical insurance to a different place, I am not in the place of insurance, can I apply online or others on behalf of others, you can handle it online. Medical insurance transfer online process:

1. First of all, you need to go through the transfer out process, log in to the social security bureau of the original place of insurance**, enter the official website and select "personal online service system". 2. Then click to enter, use your own login, if you have not registered, you can choose "new user registration", complete the registration and then log in again. 3. After logging in successfully, select "Transfer Application Management" - "Transfer of Basic Medical Insurance Relationship Continuation" - "Handling Basic Medical Insurance Relationship Transfer Procedures (Transfer Out)"; 4. Then print the insurance certificate, print it out, and after success, you will get a document of "the basic endowment insurance certificate in the province", and then bring this information to the local social security bureau to go through the transfer procedures.

How to transfer chronic disease medical insurance to a different place, I am not in the place of insurance, can I apply online or on behalf of others?

Hello dear, how to transfer chronic disease medical insurance to a different place, I am not in the place of insurance, can I apply online or others on behalf of others, you can handle it online. Online application process for medical insurance transfer and disadvantages: 1. First of all, you need to go through the transfer out process, log in to the social security bureau of the original place of insurance**, and select "personal online service system" after entering the official website.

2. Then click to enter, use your own login, if you have not registered, you can choose "new user registration", complete the registration and then log in again. 3. After logging in successfully, select "Transfer Application Management" - "Transfer and Continuation of Basic Medical Insurance Relationship" - "Handle the Procedures for the Transfer of Basic Medical Insurance Relationship (Transfer Out)"; 4. Then print the insurance certificate, print it out, and after success, you will get a document of "the basic endowment insurance certificate in the province", and then bring this information to the local social security bureau to go through the transfer procedures.

What procedures are required for the transfer of medical insurance to other places: 1. When handling the transfer of medical insurance, the employee medical insurance participant needs to prepare to bring the insurance certificate of Bixiao Hao and the original ID card of the socks; If it is not handled by yourself, the original ID card of the agent needs to be provided. 2. For flexibly employed persons to participate in insurance, it is necessary to prepare the insurance certificate and related materials issued by the original place of insurance for the transfer of medical insurance, and to apply for the medical insurance materials for flexible employees, and when they return to the new place of insurance, they also need to submit the insurance certificate issued by the medical insurance agency, the original and copy of their ID card; If it is not handled by yourself, the original and copy of the agent's ID card must also be provided.

Summary. Can I do chronic diseases locally? Medical insurance in the field:

The process is as follows: when you apply for it, you need to provide two certificates, one is SFZ Ming, and the other is a proof of residence or employment. In addition, it is necessary to fill out a "Floating Population Information Registration Form".

To apply for a residence permit for a non-local household registration, you can apply for it at the local police station of the employing unit. It can be handled with a copy of SFZ and the labor contract signed with the unit. With your residence permit and SFZ, you can go directly to the medical insurance department to handle it.

Can I do chronic diseases locally? Medical insurance in the field:

Can I do chronic diseases locally? Medical insurance in the field: the process is as follows:

When applying for the application, you need to provide two certificates, one is SFZ and the other is a certificate of residence or employment. In addition, it is also necessary to fill out a "Floating Population Information Registration Form". To apply for a residence permit for a non-local household registration, you can apply for it at the local police station of the employing unit.

It can be handled by using a copy of SFZ and the Yekuan labor contract signed with the unit. With a residence permit and Song Shenliang SFZ, you can go directly to the medical insurance department to handle it.

Legal basis: According to the provisions of Article 23 of the Social Insurance Law of the People's Republic of China, employees shall participate in the basic medical insurance for employees, and the employer and employees shall jointly pay the basic medical insurance premiums in accordance with national regulations.