Xinzhou City is a province-level city in Shanxi Province. Shuozhou is also a prefecture-level city in Shanxi Province. The two are not the same coordinating area, you can not just use the social security card in a different place, you need to apply for a foreign medical treatment, use the cash settlement back to the social security payment place to apply for reimbursement.
There is no clear legal definition of medical treatment in a different place. In the context of social health insurance, "different place" generally refers to other domestic areas outside the co-ordinating area where the insured person is insured, and "medical treatment" is the insured person's medical treatment behavior, which can be simply defined as a place where the insured person is insured in the same area. It can be simply defined as the medical behavior of a participant that occurs outside of the region where he or she is insured.
There are three main types of medical treatment. The first is one-time medical treatment, including business trips, acute illness treatment while traveling, and patient-initiated transfer to a foreign country for medical treatment, which creates the problem of not being able to settle medical expenses in a timely manner. Second, short- and medium-term mobility, the workplace is not in the insured place of the personnel of the medical treatment, including units in various places of the stationed personnel, stationed agencies in the local employment of personnel, and a situation is the entire unit are in a state of mobility, such as the construction industry and other employees of the medical treatment, the resulting problem either can not participate in the medical insurance, or have to advance the medical costs. Third, the medical care of retirees who have been relocated for a long period of time. Including post-retirement household registration from the workplace to the place of resettlement, but also to rely on the children without household registration, the resulting problem on the surface of the settlement of medical untimely, inconvenient, heavy personal burden, in essence, the place of resettlement of the medical treatment is often better than the place of participation in the insured, relocation of the people feel that the medical treatment is not equal.
Declaration requirements
Declaration of reasons
1, limited to the limitations of the local medical level, some of the seriously ill and the local designated medical institutions for long-term treatment of patients who do not have a significant effect on the transfer of foreign medical treatment.
2. Some of the people who participate in pension and medical insurance as freelancers locally, but usually work abroad, seek medical treatment at their place of work when they are sick.
3. Some of the workers, after retiring, miss their hometowns and go back home to retire, and seek medical treatment at the local hospitals in their hometowns.
4. Some enterprises contracted projects abroad or set up marketing organizations in foreign countries, and their employees work and seek medical treatment in foreign countries for a long time.
Declaration Criteria
1, retired participants resettled in a different place;
2, retired participants residing in the same foreign place within the country for more than half a year;
3, permanent participants working in a different place within the country.
Declaration Procedures
1. Participants can seek medical treatment at the recognized designated medical institutions in other places only after going through the procedures of confirming medical treatment in other places. The amount of the individual medical account can be withdrawn from any of the business outlets with the medical insurance card, and can be used to pay for outpatient general illnesses and the costs of purchasing and dispensing medicines at pharmacies. Participants who are sick and hospitalized (including outpatient treatment for specific items) can go to the local designated medical institutions for hospitalization and outpatient treatment for specific items, and the medical expenses will be paid by the individual first, and then within 1 month from the date of discharge from the hospital, the participant can apply for reimbursement to the Municipal Medical Insurance Center by presenting the following documents;
1) a copy of front and back of the medical insurance card;
2) a copy of the confirmed Application Form of Outpatient Treatment in a Different Place;
3) a copy of the Application Form of Outpatient Treatment in a Different Place;
3) a certificate of discharge or diagnosis, and a copy of the "Outpatient Application Form" approved by the Municipal Health Insurance Center for outpatient medical expenses for specific items (except for emergency inpatient treatment);
4) a detailed list of the medical expenses;
5) an official ticket of the medical expenses (signed by the person who reimburses the expenses on the back);
2. The participant shall apply for reimbursement of outpatient medical expenses when he/she goes to When a participant suffers from an acute illness during a business trip, study trip or family visit abroad (excluding Hong Kong, Macao and Taiwan), he/she can go to the local public hospital for medical treatment, and the outpatient medical expenses are to be taken care of by the participant himself/herself; the expenses incurred in the approved hospitalization (including the emergency inpatient treatment) are to be applied for piecemeal reimbursement by the unit operator with the following information to the Municipal Health Insurance Center after the participant has made a cash advance payment:
1) proof of the participant's unit;
2) a copy of the front and back of the medical insurance card;
3) a certificate of discharge or diagnosis;
4) an itemized list of medical expenses;
5) an invoice of the medical expenses (with the reimbursement person answering the name on the back);
6) a copy of the hospitalization medical record.
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