How to reimburse rural cooperative medical care in Heilongjiang Province for medical treatment in different places

Legal analysis: 1. If emergency patients need to go to non-designated hospitals for medical treatment due to illness, the unit manager or family members should call 045 1-87 130235 (working days only) within 48 hours from the date of emergency, and notify the provincial medical insurance bureau to handle the emergency registration procedures.

2 did not apply for emergency registration within the specified time, the basic medical insurance for medical expenses will not be paid. After the patient's condition is stable, he should be transferred to a designated medical institution for further treatment.

3. The medical expenses for off-site referral and transfer shall be reimbursed after personal advance.

4. Insured persons who need to be transferred to other places for medical treatment due to conditions such as technology, equipment and treatment methods of provincial-level designated medical institutions can be treated in other places by designated medical institutions (the First Hospital of Harbin Medical University, the Second Hospital of Harbin Medical University and the Fourth Hospital of Harbin Medical University) and registered by the Provincial Medical Insurance Bureau.

5. The medical expenses incurred in the off-site referral and transfer shall be paid by the individual temporarily. After the medical treatment, the agent of the insured unit will bring relevant information to the Provincial Medical Insurance Bureau for reimbursement according to regulations. The medical insurance fund will not pay for the medical expenses that occurred before the date of referral approval and were not approved. The validity period of the examination and approval time for foreign referral is one month at the longest. If a doctor fails to see a doctor within the validity period, he must go through the extension formalities with the Provincial Medical Insurance Bureau. Those who can be treated after being diagnosed in a different hospital shall be transferred back to the original hospital for treatment and treated in designated medical institutions during the recovery period.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth 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.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.