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How to reimburse medical insurance card for hospitalization in another place?
Now you can enjoy the policy of direct settlement of expenses in different places across provinces when you are hospitalized in another place. ?
The application process is as follows:
1. First register with the social insurance agency in the insured place.
2. Choose a designated medical institution that is connected to the Internet for medical treatment. ?
3. Bring a nationally standardized social security card to see a doctor. :
1. Strengthen top-level design and improve the policy framework for direct settlement of new rural cooperative medical care in other places?
Our committee, together with finance and other departments, issued an implementation plan for online settlement of new rural cooperative medical care in other places, A series of documents and protocol samples such as technical specifications clarify policy requirements such as target principles, implementation paths, and safety standards. Guide each province to establish a relatively unified off-site medical referral and filing system, standardize compensation, settlement, repayment and other policies, simplify processes, strengthen management, and improve services. ?
2. Improve the management and handling system and implement relevant responsibilities?
In April 2017, with the approval of the Central Organization Office, it was clarified that the Institute of Medical Informatics, Chinese Academy of Medical Sciences, was designated as the "National The National Health and Family Planning Commission’s New Rural Cooperative Medical Care Settlement Management Center for Off-site Medical Treatment has improved the committee’s own level of settlement management team for off-site medical treatment.
In the nine provinces (Liaoning, Jilin, Anhui, Hainan, Sichuan, Guizhou, Tibet, Shaanxi, and Gansu) where the new rural cooperative medical system is managed by the health and family planning departments, because Gansu is in the process of handover, farmers still follow the new Rural cooperatives are integrated into our management system.
All nine provinces have strengthened their provincial management capabilities, clearly defined the division of labor and assigned responsibilities to each person. Provincial health and Family Planning Commissions in other provinces have also strengthened their supervision and guidance of designated medical institutions in their jurisdictions. Each designated medical institution has established a leading group as required to coordinate and perform its duties. ?
3. Rapidly connect and build a new rural cooperative medical care network system in other places?
Relying on the new rural cooperative medical care settlement management center (Information Institute of the Academy of Medical Sciences), our commission developed a national new The rural cooperative medical care settlement information system across provinces realizes functions such as cost verification, referral, settlement, and fund application. Guide nine provinces to establish an information network covering all coordinated areas within their jurisdiction, and upgrade and transform the new rural cooperative medical information platforms at all levels to improve their functions.
Open up the communication channels between information platforms at all levels and designated medical institutions. Guide designated medical institutions to transform their HIS systems and connect them directly or indirectly to the national platform. With the national platform as the hub and connecting provincial and county-level platforms and designated medical institutions, the new rural cooperative medical settlement network system for off-site medical treatment, which is fully interconnected, fully functional, stable in operation and information secure, has been basically completed and continuously improved. ?
Four. Actively introduce social forces to break settlement bottlenecks?
Our committee actively responded to the central government’s call for streamlining administration and delegating power, boldly innovated, and introduced China Life, China UnionPay, and Tencent Wait for social forces to break the bottlenecks restricting settlement. For example, in response to the problem of long repayment cycles for out-of-town medical settlements, China Life invested 100 million yuan as working capital for cross-provincial medical settlements under the National New Rural Cooperative Medical Care System, and successfully established a cross-provincial rapid repayment mechanism.
As of the end of August, China Life has paid a total of 12.197 million yuan in working capital, controlling the New Rural Cooperative Medical Care Cross-provincial medical settlement payment cycle to within one month, which greatly eases the funds of medical institutions and participating provinces. Turnover pressure. In response to the problem of a single payment method, we actively introduced quick payments such as WeChat. In July 2017, Shenzhen successfully implemented the first cross-provincial medical settlement business for basic medical insurance through WeChat payment, which attracted widespread attention from the society. ?
5. Vigorously promote "one-stop" settlement to further reduce the burden on patients?
Currently, 9 provinces have basically realized the "one-stop" settlement of new rural cooperative medical care and critical illness insurance within the province. "Settlement. Anhui and Hainan have also included civil affairs assistance funds in the scope of "one-stop" settlement. Bijie, Zunyi and other places in Guizhou have realized the first batch of nationwide "one-stop" settlement of New Rural Cooperative Medical Care and critical illness insurance, covering more than 16 million participating people. ?
As of the end of August, the direct settlement of new rural cooperative medical care in other places has been progressing well, successfully achieving the annual task targets set by the State Council, covering all 150 million participating people in 9 provinces. There are 1,518 designated medical institutions across provinces across the country, covering 31 provinces.
From January to August 2017, the country’s *** achieved direct settlement of 1.914 million out-of-town medical treatments under the new rural cooperative medical system, with a reimbursement of 10.52 billion yuan, which reduced the advance payment by an average of 5,496.3 yuan per patient; the new rural cooperative medical system Inter-provincial medical network settlements were made for 18,235 patients, with a settlement amount of 140 million yuan, reducing the advance payment of each patient by an average of 7,677.5 yuan.
In the next step, our committee will continue to follow the decisions and arrangements of the Party Central Committee and the State Council, increase overall planning and coordination, strengthen publicity and guidance, steadily improve the level of new rural cooperative medical settlement management services in other places, and effectively implement this people's livelihood Projects and public support projects must be implemented in a practical and detailed manner!
The Central People’s Government and the National Health and Family Planning Commission’s work on the completion of the New Rural Cooperative Medical Care Network for off-site medical treatment
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