Procedures for filing medical treatment in different places in Shanxi Province

To seek medical treatment in different places, you need to check whether the hospital you want to go to is a designated medical institution, and then put it on record, and put it on record at the agency in the insured place. The agency collects necessary information (reasons for filing and places to go, and can go to see a doctor after approval).

The following materials need to be prepared for medical insurance filing in different places:

1. First confirm whether to seek medical treatment in different places in the province or across provinces. If it is the former, it does not need to be filed;

2. If it is a cross-provincial medical treatment in different places, the insured person will fill in the "Approval Form for Medical Treatment in Different Places" at the social security center of the insured place with a "social security card" for registration;

3. After being approved for filing, medical institutions will be designated in the place of residence 1-3 according to the principle of proximity, and the cycle will generally be determined once a year. After being approved by the social security unit of the designated institution, the filing is completed;

4. Inter-provincial medical settlement in different places. Medical personnel in different places should go to the designated medical institutions for medical treatment with the "social security card" issued by the insured co-ordination area, and the medical expenses incurred will be settled directly by online credit card according to the medical insurance policy of the insured co-ordination area (including outpatient and inpatient co-ordination).

Legal basis:

Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers

Twenty-eighth personal accounts are used to pay medical expenses beyond the scope of the overall fund; If the personal account is insufficient to pay, it shall be borne by me.

Twenty-ninth serious illness hospitalization medical expenses, according to the following methods to pay:

(a) Qifubiaozhun in principle control in the city, county, autonomous county last year, the average social wage of workers 9%-0%.

(two) the maximum payment limit is controlled in principle at 3-5 times of the average social wage of employees in cities, counties and autonomous counties in the previous year.

(three) medical expenses above the minimum deductible and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion. Give appropriate care to the proportion of retirees who bear medical expenses.

The scope of serious diseases, the specific standards of Qifubiaozhun and the maximum payment limit, and the proportion of sharing medical expenses above Qifubiaozhun and below the maximum payment limit shall be determined by the provincial people's government.

Thirtieth medical expenses below Qifubiaozhun and above the maximum payment limit shall not be paid by the overall fund.