1. If the insured person is transferred to other medical institutions for diagnosis and treatment due to the conditions of designated medical institutions or specialized diseases, the approval form for referral and transfer shall be filled in. The reasons for referral and transfer are put forward by the attending physician, the director of the department puts forward the opinions of referral and transfer, the medical institution medical insurance office reviews, the dean in charge signs, and the referral can only be made after being reported to the municipal medical insurance center for approval;
2. In principle, referrals should be made outside the city, inside the province and outside the province. The city's referral regulations are carried out between designated medical institutions. The referral outside the city is proposed by the designated medical institutions above Grade III in this Municipality;
3. The medical expenses incurred after the insured person is referred to another hospital shall be paid by the individual or unit in cash. After the medical treatment, the insured person or his agent will submit the referral approval form, medical record certificate, prescription and valid documents to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of the overall fund payment.
Referral medical institutions shall meet the following conditions:
1, if the patient is limited by objective medical technology and conditions, there is indeed a realistic referral demand;
2, the hospital fully fulfill the obligation to inform, with the informed consent of patients;
3. The patient is not critically ill and meets the clinical indications of transfer.
To sum up, "patients who cannot be diagnosed and treated due to the limited technical and equipment conditions in the hospital should be discussed by the department or proposed by the department director. With the consent of the medical department, they should contact the transfer hospital in advance and get the consent before they can be transferred to the hospital. " "If the patient is transferred to another hospital, if it is estimated that his illness or death may be aggravated on the way, he should be hospitalized and transferred to another hospital after his condition is stable or dangerous. The heavier patients should be escorted by medical staff when they are transferred to hospital. When the patient is transferred to another hospital, the medical record summary should be transferred with the patient. When the patient leaves the hospital, he should write a treatment summary, submit it to the medical record room and return it to the hospital. Patients who transfer to nursing homes only bring medical records. "
Legal basis:
Eighty-eighth rules for the implementation of the regulations on the administration of medical institutions
Special examination and special treatment refers to the diagnosis and treatment activities under any of the following circumstances:
Examination and treatment that are dangerous and may have adverse consequences;
(2) due to the patient's special physique or critical illness, it may have adverse consequences and dangerous inspection and treatment for patients.