Medical insurance reimbursement process for medical treatment in different places

The reimbursement process of medical insurance in different places is as follows:

1, the insured person brings the discharge summary, invoice, medication list and medical certificate issued by the unit issued by a different hospital to the local social security agency for reimbursement; 2. The hospitalization expenses and medicine expenses can be settled directly at the hospital medical insurance office. The transportation is convenient, there are many migrant workers, and the medical level varies greatly between regions. Excellent medical resources are concentrated in big cities and eastern provinces. Many reasons have led to a large number of people visiting provinces for medical treatment, and the state has also considered this issue. Therefore, now cross-provincial medical treatment can be directly settled and directly reimbursed at the medical treatment place. At the beginning, social security cards were introduced slowly in many provinces. In recent years, all provinces in China have introduced social security cards. Social security cards are universal throughout the country, and it is enough to use medical social security cards in different places. Moreover, from a few years ago, not only hospitalization, but also chronic diseases in special clinics can be directly settled across provinces. Now, 27 provinces have been opened. At the beginning, there are not many cities that may open up reimbursable diseases and reimbursement. By the end of next year at the latest, most hospitals and diseases can directly settle accounts outside the province.

There are generally two kinds of cross-provincial medical treatment. Some people go out for medical treatment, others go to big hospitals outside the province for medical treatment. This only needs to complete one or more inter-provincial medical treatment settlements, and this only needs to handle medical treatment in different places. There is also a group of people who live in other provinces or go out to work all the year round. After living, they may need to see a doctor many times and can apply for resettlement in different places. There are many ways to deal with it. You can bring relevant materials to the window of the medical insurance bureau and handle them in the official WeChat account of the local medical insurance bureau. Now the National Medical Insurance Bureau has developed the national medical insurance service platform APP, and all people who want to go to different places for medical treatment can file files on this APP, and this can be bound with the family number and can file files for their families. Moreover, you can apply for an electronic medical insurance certificate on the national medical insurance service platform, either by yourself or for your family. If you forget to bring your social security card, you can use the electronic medical insurance voucher to settle the account directly, which is very convenient.

legal ground

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.