Joke Collection Website - Public benefit messages - Wuhan medical insurance was transferred to personal account 10, but it didn't arrive.
Wuhan medical insurance was transferred to personal account 10, but it didn't arrive.
1, reimbursement problem
Inter-provincial reimbursement of medical insurance problems
Remote supervision
A person concerned in Ministry of Human Resources and Social Security said that different cities have different levels of economic development, which leads to different levels of medical consumption and medical insurance policies. For example, the three catalogues of drugs (drug catalogue, diagnosis and treatment catalogue and medical service facilities) in different places are inconsistent, and the proportion of medical insurance account payment and hospitalization reimbursement is also different. This leads to more complicated review of medical insurance reimbursement in different places.
At present, the insured in different places in China are mainly long-term business travelers and retired employees living with their children. When they seek medical treatment in different places, they need to issue a referral certificate in the local designated medical insurance hospital, and the patient will pay the medical expenses in advance, and then return to the local medical insurance department for reimbursement with the bill; If there are audit institutions and personnel in different places in the city, they must be signed by the auditors in the first instance before reimbursement can be made.
It is understood that medical insurance institutions in many parts of the country have medical insurance agencies or personnel in big cities such as Beijing, Shanghai and Guangzhou. This co-sponsorship mechanism has also been affirmed and promoted by the labor and social security departments.
2. Online settlement
National online settlement is difficult to achieve.
Regarding the "checkpoint phenomenon" of agencies and personnel in different places, relevant experts said that because the local medical insurance department has relatively weak control over agencies and auditors set up in different places, as long as the medical insurance policies in different places are inconsistent, such agencies and personnel will be given certain powers, and "moral hazard" will be inevitable. However, if regulated, it will also increase the burden on taxpayers, which is not feasible.
Relevant personnel of the Social Security Bureau of Dongying City, Shandong Province said that it is not necessary to set up institutions or personnel simply to review the identity of medical insurance patients and the authenticity of invoices. China Youshi University (East China) is located in Japan, and a large number of faculty members have retired and returned to Beijing. In this regard, the staff of Dongying Social Security Bureau come to Beijing once every quarter to make unified reimbursement and settlement for their medical insurance documents.
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