Joke Collection Website - Blessing messages - Tangshan WeChat official account (Tangshan Medical Insurance Bureau WeChat official account) off-site medical treatment filing process
Tangshan WeChat official account (Tangshan Medical Insurance Bureau WeChat official account) off-site medical treatment filing process
Wechat searches for the official account of "Hebei Medical Security Bureau", clicks into the official account of WeChat, clicks on the menu bar of "Medical Treatment in Different Places" to enter the medical treatment filing platform in Hebei, and selects "Tangshan" to enter the filing page.
Step 2: Register personal information of medical treatment in different places.
Click the new user registration page, fill in the following personal information in turn: name, ID number, mobile phone number, login password, and click the registration button to register.
Step 3: Add a new remote medical record holder.
Click "Add Filing Person" in the page to enter the referral filing page, and fill in the following personal information: name, mobile phone number, type of transfer, place of medical treatment in different places, transfer, application time, and then click "Apply for filing".
Instructions for filing medical treatment in different places in Tangshan
I. Direct settlement policy treatment
The direct settlement of hospitalization medical expenses is based on the policy of "catalogue of medical places, treatment of insured places and management of medical places". Catalogue of medical places: the insured person shall, in principle, implement the payment scope of medical places for medical treatment in different places, including the drug catalogue, diagnosis and treatment items and service facilities standards of basic medical insurance; Treatment of the insured place: The insured person shall, in principle, implement the payment policy of the insured place for medical treatment in different places, including the deductible line, payment ratio and maximum payment limit of the medical insurance fund.
Second, the record commitment system management
Direct settlement of medical treatment in different places requires "filing first", and the agency collects the necessary information.
"Class III" personnel) "Class III" personnel need to promise not to change the location of medical treatment in different places within half a year, which can be handled by themselves through the website of Hebei Medical Insurance Bureau and its official WeChat account, the website of Tangshan Medical Insurance Bureau, the website of Tangshan Human Resources and Social Security Bureau or the smart social security mobile APP, or at the window of the local medical insurance agency; Enjoy the same treatment for medical treatment in the insured place. Registered "three types" personnel cannot use social security cards for medical treatment at the insured place.
Referral personnel
The insured person who needs to be transferred to the overall planning area for medical treatment, the procedures and treatment for medical treatment in different places are as follows:
1. Before seeking medical treatment, the insured can seek medical treatment in different places through the website of Hebei Medical Insurance Bureau, its official WeChat account, the website of Tangshan Medical Insurance Bureau, the website of Tangshan Human Resources and Social Security Bureau or the smart social security mobile APP, or go to the window of the local medical insurance agency.
2. The filing is limited to the use of medical treatment in different places at that time, and the limitation is tentatively set at one year. Referral and transfer must be handled again.
Three. any other business
The direct settlement and filing of hospitalization in different places is limited to hospitalization in different places caused by the insured's illness, and is not applicable to maternity and accidental injury, and should be borne by a third party.
The insured can log on to the portal of Hebei Medical Insurance Bureau to inquire about designated hospitals in different places and hospitals and pharmacies in different places that have opened inter-provincial networking in the province.
The medical expenses of hospitalization in different places shall be directly settled, and the management of filing before medical treatment shall be implemented. In special circumstances, hospitalization can be carried out first, and re-submission can be made within 10 days.
The "three types" of personnel seek medical treatment in different places, and there is no need to re-apply for filing after each hospitalization settlement; After handling medical records in different places, it is generally not allowed to change the place of medical treatment again within half a year. If it is really necessary to change within half a year, the medical expenses incurred in the direct hospitalization of designated medical institutions in different places after the change will be paid in advance by individuals, and will be reimbursed back to the insured place according to the types of referral and transfer personnel in different places, and the outpatient special disease expenses will not be reimbursed; In non-designated medical institutions, in accordance with the relevant provisions of the insurance; After the real estate is changed from a different place to a local place, it can be changed to a different place for more than half a year.
After handling the direct settlement of medical treatment in different places, if you are hospitalized in a designated medical institution that has opened the direct settlement of medical treatment in different places, you can directly settle the medical expenses with a social security card; If a person is hospitalized in a designated medical institution that has not opened direct settlement for medical treatment in different places, the medical expenses shall be paid in advance by the individual, and the insured place shall apply for reimbursement in accordance with relevant regulations.
If the hospitalization expenses of medical institutions that have achieved direct settlement of medical treatment in different places are not directly settled due to personal reasons, and the hospitalization expenses that have not been registered and filed according to regulations need to be returned to the insured place to apply for reimbursement, it shall be handled according to the relevant provisions of the insured place.
Telephone number for medical consultation in different places: 03 15-5908000.
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