How is hospitalization reimbursed by medical insurance in another place?

1. Conditions for reimbursement of medical insurance in other places

1. Participate in medical insurance in accordance with regulations;

2. Belong to the period of enjoying medical insurance benefits;

3. Medical expenses that comply with regulations, such as medical expenses incurred when handling out-of-town transfers in accordance with regulations, etc.

: Specific reimbursement conditions are implemented in accordance with local medical insurance policies.

2. Medical insurance reimbursement information for other places

1. Social security card;

2. Valid ID card, such as ID card;

3. Original voucher for medical expenses;

4. Summary and detailed list of expenses;

5. Other required information.

: Reimbursement information is different in different places, and the specific implementation is in accordance with local medical insurance policies.

3. Out-of-city medical insurance reimbursement process

Applicants must first advance relevant medical expenses, and then bring the above information to the social security agency or medical institution to handle the reimbursement procedures. After review, relevant medical expenses will be reimbursed if the conditions are met. It should be noted that some provinces have opened a settlement system for medical treatment in other places within the province, and insured persons can directly settle the bill after being discharged from the hospital. A pilot project for medical treatment in other places across provinces is under way.

IV. Reimbursement ratio of medical insurance for hospitalization in other places

Insured persons who meet the conditions for out-of-town transfer but fail to go through the off-site transfer procedures as required (including insured persons who are referred by medical institutions in other places) Transfer to other medical institutions), or meet the conditions for emergency or first aid, and fail to complete the registration procedures within the prescribed time. For medical expenses incurred in hospitalization in other places or in non-designated medical institutions, the basic medical insurance personal burden ratio is as follows:

1. The number of active employees and flexible employment personnel participating in the employee basic medical insurance is 40; the number of retirees is 25.

2. Elderly residents and disabled people participating in urban residents’ basic medical insurance are 60; minor residents, college students, and people living on minimum living allowance are 40.

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