Jiangmen medical insurance settlement in different places

It is understood that according to the notice jointly issued by Ministry of Human Resources and Social Security and the Ministry of Finance, in principle, the payment scope and relevant regulations for medical treatment in different provinces will be implemented, and at the same time, the minimum payment standard, payment ratio and maximum payment limit of the medical insurance pooling fund will be implemented in principle. Then, how to handle the 20 17 medical insurance in different places, and when will the medical insurance settlement be implemented?

20 17 how to handle medical insurance in different places?

20 17 how to handle medical insurance in different places? First, it is suitable for the insured. 1, the insured units are stationed in other places to work; 2, the insured retirees live in other places for a long time; 3, they are employed in other places and insured as individuals or urban and rural residents; 4, they participate in medical insurance for minors and live in other places with their parents for a long time; 5, they participate in medical insurance for urban and rural residents and live in other places with their children and women for a long time.

Second, the procedure of doctor registration. 1. Receive or download the Municipal Basic Medical Insurance Declaration Form for People Working and Living in Different Places (hereinafter referred to as the Declaration Form) on the social security website. 2 according to the provisions of the declaration form, and by the foreign social insurance (medical insurance) agencies stamped confirmation.

3 will fill out the "declaration form" back to the social insurance agency responsible for the division of labor for review and confirmation. If you need to apply for a medical card in different places in the province, you should register with the audit department of the municipal social security center with the "Declaration Form" after the examination and confirmation, and then go to the social security card management department to handle the card-making procedures for the network card in different places in the province.

4. The insured person's personal social security card cannot be used after filing; If the insured person goes back for medical treatment, he should cancel the medical registration in the municipal social security institution, and his personal social security card can be used in designated medical institutions from the next day. 5. Any change in medical registration shall be reported, and no change shall be reported.

Third, handle the window. According to the municipal and district division of labor management measures, the insured persons of the insured units under the jurisdiction of the municipal social security institutions shall be handled by counters 33 and 34 of the medical expenses audit and settlement department of the municipal social security center; Insured units under the jurisdiction of the district social security institutions are insured, as well as insured persons who are employed in different places, participate in urban and rural residents' medical insurance, minor medical insurance and live in different places for a long time. The nearest district social security agency is responsible for the confirmation and filing procedures.

If you need medical treatment in different places in the province, you can apply for a medical treatment card in different places in the province. After the insured person confirms the filing procedures, he/she will go to the counters No.33 and No.34 of the medical expense audit and settlement department of the Municipal Social Security Center for confirmation with the declaration form, and then go to the social security card management department to handle the card-making procedures for remote networking cards in the province.

When will medical insurance settlement in different places be implemented?

At present, 70 provinces (autonomous regions and municipalities) have passed the national acceptance and achieved networking, and 675 designated medical institutions have opened direct settlement for medical treatment in different provinces. In the next step, the Municipal People's Social Security Bureau will take expanding the settlement scope of medical treatment in different places and improving the settlement efficiency of medical treatment in different places as an important work measure to promote the project of medical insurance benefiting the people in this city and better provide services for medical personnel in different places. The catalogue of basic medical insurance drugs, diagnosis and treatment items and medical service facilities shall be based on the standard of residence, and the hospitalization Qifubiaozhun, payment ratio and annual maximum payment limit of the basic medical insurance pooling fund shall be based on the standard of the insured place.

20 17 medical insurance settlement process in different places:

65438+ 2. After that, hold the social security card and

"Record Form" shall be confirmed and registered in the designated department of the networked designated hospital at the place of residence or work, and the hospitalization in the networked designated hospital at the place of residence or work shall be handled according to the regulations.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.