This means that if you have participated in the health insurance in Jiangxi Province, when you need to travel to a different place for medical treatment due to illness, you can be directly reimbursed by the local health insurance designated medical institutions without having to pay the medical expenses in advance.
In order to enjoy the direct settlement of foreign medical services, you need to follow the following steps:
1, in advance for the record: in the intention to seek medical treatment in the foreign medical insurance designated medical institutions for the record, informing you of the type of medical insurance and the place of participation in the information. The filing can be done by phone, online or on-site.
2. Selecting a designated medical institution: Choose a designated medical institution that has been connected to the national cross-district medical settlement system for medical treatment. These medical institutions can be found on the official website of the State Medical Insurance Bureau.
3, with social security card for medical treatment: When seeking medical treatment, please make sure to bring your own social security card for medical insurance reimbursement.
It should be noted that the direct settlement of medical expenses in other places only applies to medical expenses within the scope of medical insurance; for expenses outside the scope of medical insurance, you may need to pay upfront and go back to the place of insurance for manual reimbursement. In addition, the specific reimbursement rate and reimbursement policy may vary depending on the region and type of medical insurance, you can consult the local medical insurance department or the participating medical insurance institutions.
The reason why health insurance participants in Jiangxi Province can use their health insurance in other places is that the state has gradually realized the direct settlement service for medical treatment in other places in order to solve the various problems faced by the participants when they seek medical treatment in other places and to promote the convenience and integration of medical insurance services. This service greatly facilitates the medical treatment of insured persons in different places, reduces the financial burden of medical treatment, and also improves the efficiency of the use of medical insurance funds.
In addition, in order to realize the direct settlement for medical treatment in other places, the State has established a complete settlement system for medical treatment in other places, which relies on information technology and network communication technology to realize the exchange of medical insurance data and information***sharing across regions and provinces. Through this system, insured persons can settle medical expenses in real time at medical institutions in other places, avoiding the cumbersome manual reimbursement process.
In addition to the direct settlement service for medical treatment in other places, Jiangxi Province's health insurance policy has the following extensions and extensions:
1. Cross-provincial network settlement for medical treatment in other places: In order to further facilitate the movement of insured persons across provinces to seek medical treatment in other places, Jiangxi Province has realized the network settlement with the health insurance departments of other provinces across the country. This means that health insurance participants in Jiangxi Province can also enjoy the direct settlement of medical treatment in other places when they travel across provinces for medical treatment.
2. Record-keeping system for long-term foreign residents: Jiangxi Province has implemented a record-keeping system for insured persons who have been living in a foreign place for a long time. Through the record, these people can enjoy the same medical insurance treatment as the insured place in the other place.
3, health insurance electronic vouchers: in order to facilitate the participants to query and use the health insurance information at any time and anywhere, Jiangxi Province has introduced health insurance electronic vouchers. Participants can apply for and use the e-voucher at any time through the cell phone APP or other channels.
4, cross-provincial medical consultation and service hotline: In order to better serve the needs of the insured for medical treatment in other places, Jiangxi Province has set up a cross-provincial medical consultation and service hotline. Participants can call the service hotline to consult the relevant policies and procedures for medical treatment in other places.
Summary: Jiangxi Province's health insurance participants can enjoy direct settlement services when seeking medical treatment in a different place, thanks to the construction of the national settlement system for medical treatment in a different place and the perfect health insurance policy system. Through these measures, Jiangxi Province has provided more convenient and efficient health insurance services for the insured, and has strongly protected the health rights and interests of the insured. At the same time, Jiangxi Province is also constantly promoting the innovation and improvement of health insurance services to meet the growing demand of the people for medical protection.
Legal basis:
The People's Republic of China*** and the State Social Insurance Law
Article 32
Individuals who are employed across the integrated area, their basic medical insurance relationship is transferred with them, and their years of contribution are cumulative.
Article 26
The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.