Can Xi medical insurance card be used in different places? How to handle the settlement of admission, transfer and discharge from different places?

Xi basic medical insurance direct settlement of hospitalization expenses in different places

Yes, after self-service filing in different places, when the insured person needs hospitalization due to illness, he/she will go to electronic certificate for medical treatment with social security card or medical insurance. The medical treatment process and service standard shall be implemented according to the relevant requirements of local designated medical institutions.

First of all, admission

Long-term residents in different places hold their social security cards or medical insurance electronic certificates, and go through the registration formalities in the medical insurance office of designated medical institutions in different places within the selected overall planning area.

Temporary medical personnel who go out for medical treatment hold their social security card or medical insurance electronic certificate, and go through the filing formalities at the medical insurance office of designated medical institutions in different places in the selected overall planning area within the validity period of filing.

note:

1. Long-term residents in different places: including retirees resettled in different places, long-term residents in different places, permanent residents in different places, migrant farmers, and entrepreneurs who have worked, lived and lived outside our city for a long time.

2. Temporary medical personnel: mainly refer to those who are referred to other places for medical treatment and those who need emergency medical treatment due to work, tourism and other reasons.

Second, transfer

During the period of medical treatment in different places, if the insured person needs to be transferred to a different place for medical treatment due to illness, he/she should go through the discharge formalities first, and then transfer to a hospital for medical treatment by himself/herself with the referral certificate issued by a different hospital.

Third, discharge settlement

After the insured is hospitalized, the hospitalization expenses will be settled directly in the hospital. The hospitalization expenses shall be settled according to the payment scope (basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards), Qifubiaozhun and payment ratio of the insured. The insured person only needs to pay the expenses to be borne by the individual at the designated medical institution of the medical place, and the rest expenses are paid by the medical insurance fund according to the regulations.

The hospitalization expenses incurred by the insured in the designated medical institutions in different places due to the network failure of the medical insurance system can be reimbursed sporadically in the medical insurance agency in the insured place.