The referral function in our province
has been sunk to the sentinel hospital
Referral, in the future, the sentinel hospital to do, do not have to look for the health insurance agency
Many insured persons are very concerned about the referral of medical treatment in a different place. In order to facilitate the participants in the medical referral, and effectively achieve the "people less errands", referral to the hospital function has been sunk to the designated hospitals, hospitals hospitals for the participants in the foreign medical record registration, without the need to go to the health insurance agency for processing.
Referral, the future designated hospitals to do, do not have to look for the health insurance agency
Referral to the hospital refers to what?
Referral refers to when the insured person consults the designated medical institution, and the designated medical institution must be referred to a higher-level medical institution, a specialized medical institution, or a medical institution with specialties for consultation and treatment due to the condition of medical instruments and equipment, technology, or means of treatment.
Participants who meet the conditions for referral, by the local designated hospitals with the qualification of referral issued a referral opinion, and for its medical record for the record registration, participants can directly hold the second generation of social security card to go to the place of medical care. At present, the province's referral filing implementation of filing to the coordinating area policy, that is, by the patient to choose their own medical treatment place of foreign designated hospitals.
Participants should first choose the primary health care institutions, according to the needs of the condition must be referred to the hospital in the case of referral, you can apply for referral to the hospital, need to be transferred to the hospital again, should be issued by the health care institutions of the referral to the hospital proof of referral. Referral records are handled by the designated hospitals in the insured area that have the right to make referrals.
In principle, a treatment cycle of referral to a hospital shall not exceed 3 months. If the period exceeds 3 months, the applicant should apply for an extension from the local health insurance office. Usually the referral record is valid once, and you need to do it again for another visit to the hospital. If you have been hospitalized in the same medical institution several times for the same disease process, the second and subsequent times can be filed by the medical insurance agency in the place where you are insured.
One is to meet the conditions of the referral of the insured person to the hospital, by the qualification of the referral of the designated hospital in the hospital end of the approval of the record registration procedures, the insured person does not need to go to the insured place of the health insurance department for processing.
The second is not eligible for referral, the participants in the medical costs incurred in a different place, in accordance with the policy of the co-ordination area.
Thirdly, participants who are in emergency or meet other conditions for medical treatment in other places should contact the medical insurance department of the place where they are insured for processing.
Fourth, the referral requirements and procedures vary slightly from one coordinating region to another, so please consult with your local health insurance department or designated hospitals with referral qualifications.
Fifth, after the referral procedures, the insured person to the place of direct settlement of the financial function of the second generation of social security card, without the second generation of social security card referrals need to advance their own medical fees back to the place of manual reimbursement.