1, filing
First, filing at the office of the insured place
(1) filing location:
Each of the insured place of the office.
(Some areas can be through the network, telephone, etc., you can consult the participating agencies, the phone number is attached)
Filing information:
(2) the reason for filing, is the relocation or residence, permanent work, referral hospitalization, etc.
2, select the point of
Select the relocation of the province or city
Fill in the province or city you need to go to province or city where you need to see a doctor.
3, card medical
Be sure to bring the national standardized social security card for medical treatment!
Ratio of reimbursement of medical expenses for people traveling to other places
Medical expenses within the starting standard will be borne by the insured person. The specific standard is: 1800 yuan for hospitals outside Jingzhou City. (resettlement, long-term residence, permanent work, business trips hospitalization starting line according to the city of the same level of hospital standards)
(a) Employee health insurance hospitalization reimbursement ratio: residing in a different place of residence of the retiree hospitalized, the individual first out-of-pocket 5% and then in accordance with the city's treatment standards for hospitals of the same level of treatment; referrals to a different place of hospitalization of personnel in hospitalization of the basic medical costs, the individual first out-of-pocket 10% and then According to the city's tertiary hospital reimbursement rate reimbursement; employees resident in foreign staff or travel to hospitalization in accordance with the city's hospital treatment standards of the same level; other cases of hospitalization in foreign medical treatment of basic medical costs, the individual first out-of-pocket payment of 20% before reimbursement of reimbursement by the city's tertiary hospital reimbursement rate.
Specifically, the basic medical expenses of Class A:
Three-level hospitals will be reimbursed 85%,
Two-level hospitals will be reimbursed 90%, and
One-level hospitals will be reimbursed 95%.
Category B basic medical expenses (including medical materials) will be reimbursed 75% by the fund. The maximum reimbursement limit for single hospitalization medical material expenses is 60,000 yuan, beyond which the basic medical insurance fund will not reimburse.
(2) urban and rural residents insurance medical insurance hospitalization reimbursement rate: referral of foreign personnel hospitalization treatment of basic medical expenses, the individual first 10% out-of-pocket reimbursement of hospital reimbursement rate according to the city's tertiary hospitals; other cases of hospitalization in a different place of hospitalization, the individual first 20% out-of-pocket reimbursement of hospital reimbursement rate according to the city's tertiary hospitals.
Specifically, the basic medical expenses of Category A:
Tertiary hospitals will be reimbursed 65%,
Secondary hospitals will be reimbursed 80%, and
Primary hospitals will be reimbursed 90%.
Category B basic medical expenses (including medical materials): participants pay 10% out-of-pocket before reimbursement according to the reimbursement rate of Category A basic medical expenses. The maximum reimbursement limit of the integrated fund for single hospitalization medical material expenses is 40,000 yuan, beyond which the basic medical insurance fund will not reimburse.
Legal basis:
Notice on Doing a Good Job of Direct Settlement of Hospitalization Medical Expenses for Cross-Provincial and Cross-Location Medical Treatment in Basic Medical Insurance
Article 5: Before seeking medical treatment in a cross-provincial and cross-location medical treatment, the insured person shall be registered with the administrative organization of the place where he/she is insured. The agency of the insured place shall, according to the local regulations, go through the procedure of filing for medical treatment in other places for the insured persons, establish a database of persons filing for medical treatment in other places and realize dynamic management. The agency of the insured place shall report the information of the insured persons for medical treatment in other places to the social insurance agency of the Ministry of Human Resources and Social Security (hereinafter referred to as the ministerial-level agency) to form a national database of the insured persons for medical treatment in other places, which shall be available to the agencies of the place of medical treatment and the fixed-point medical institutions for obtaining information of the insured persons for medical treatment in other places.
Article 7: The following persons participating in basic medical insurance can apply for direct settlement of hospitalization medical expenses for cross-provincial cross-district medical treatment.
(1) Retirees resettled in a different place: those who have resettled in a different place after retirement and whose household registration has been moved to the place of resettlement.
(2) Long-term residents of other places: those who live in other places and meet the requirements of the insured places.
(3) Staff resident in a foreign country: those who are sent by their employers to work in a foreign country and meet the requirements of the place of insurance.
(d) Referral from other places: refers to those who meet the referral requirements of the insured place.