Medical treatment in other places' is simply that the insured goes to other designated medical institutions outside the insured co-ordination area for medical treatment. According to the current medical insurance policy in China, medical expenses incurred in accordance with the medical treatment in different places can be reimbursed. Let's have a brief understanding of the reimbursement conditions, materials and procedures of medical insurance in different places.
Reimbursement process of medical insurance in different places
[undertaker]: social security institution or medical institution
[matters to be handled]: reimbursement of medical expenses in different places
[consultation telephone]: 12333
[related business]: medical insurance relocation procedures
Reimbursement conditions of remote medical insurance:
1. Participate in medical insurance according to regulations;
2. It belongs to the period of enjoying medical insurance benefits;
3. Medical expenses in line with the regulations, such as medical expenses incurred in handling remote referral in accordance with the regulations, etc.
[note]: the specific reimbursement conditions shall be in accordance with the local medical insurance policy.
Reimbursement information of remote medical insurance:
1. Social security card;
2. A valid identity card, such as an identity card;
3. Original certificate of medical expenses;
4. Detailed list of expense summary;
5. Other required information.
[note]: the reimbursement materials in different places are different, which shall be implemented in accordance with the local medical insurance policy.
Reimbursement process of non local medical insurance: the applicant pays the relevant medical expenses in advance, and then takes the above information to the social security institution or medical institution to handle the reimbursement procedures. After verification, if the conditions are met, the relevant medical expenses will be reimbursed. It should be noted that some provinces have opened the inter provincial medical settlement system, and the insured can directly discharge from the hospital for settlement, and the inter provincial medical treatment in different places is being piloted.
Reply to other questions about medical insurance reimbursement
1、 How can medical insurance be reimbursed in different places? How much can it be reimbursed?
[reply]: the insured can take the required information to the social security institution of the insured place to go through the reimbursement procedures. Different cities have different reimbursement rates.
2、 See a doctor in other place, how to go home reimbursement? What materials need to be prepared?
[reply]: it is usually paid in advance, and then take the ID card, original medical expense voucher and other materials to the social security institution of the insured place to go through the reimbursement procedures. If it is in the networked designated hospital, it can be reimbursed directly on site.
3、 How can medical insurance be reimbursed in other places? Can it be reimbursed directly on site?
[reply]: whether the on-site reimbursement can be made depends on whether the hospital is an online hospital. Otherwise, you can only carry relevant information to the social security institution to go through the reimbursement procedures. Different regions need different information. Please consult 12333 for details.