What is the process of enrollment in medical insurance

A. The process of applying for medical insurance

1, the applicant for insurance with the following materials to the Municipal Health Insurance Bureau business office hall "insurance registration" window to receive "Shangrao City, the flexible employed people to participate in the basic medical insurance application form.

2, the applicant to bring the following materials to the Municipal Health Insurance Bureau business management hall "registration" window for registration procedures:

personal identification and its copy; household register and copy; enterprises and institutions restructuring units to terminate labor relations need to be submitted to the termination of the labor relationship certificate and a copy of; medical examination form ( Dismissal of labor relations personnel to continue the health insurance relationship does not require a medical examination); recent 1-inch bareheaded photo 3.

3, the staff review, by the "registration" window to the applicant to participate in the issuance of health insurance premiums levy notice;

4, the applicant to participate in the payment notice to the designated bank or the "fund payment" window to pay the fee;

5, participation Applicants with payment receipts to the "three certificates for the" window for medical certificates, cards (restructuring units to continue the medical insurance relationship does not need to re-apply).

Two, health insurance participants hospitalization process

1, the insured patient to their hospitalization designated hospital, the doctor treating the condition, that need to be hospitalized, issued "hospitalization certificate";

2, the insured patient himself or her family members with the patient's own Medical insurance "three certificates" and "hospitalization certificate" to the Municipal Health Insurance Bureau of the Office Hall "hospitalization, transfer" window for hospitalization registration procedures, hospitalization referral letter;

3, the insured patient The patient or his family members with the "hospitalization letter" to the hospital for admission procedures;

4, the insured person sudden emergency and other special circumstances, you can be hospitalized, and then within three days for hospitalization letter. Emergency rescue, not subject to the regular hospitalization procedures, rescue treatment in a hospital other than my designated hospital, hospitalization within three days after the need to inform my designated hospital inpatient hospital health insurance office.

5, such as due to the condition and the designated hospital inpatient hospital technology or equipment and other factors need to be transferred to the hospital, according to the following process:

(1) by the treating doctor to fill out the "city (outside) referral to the hospital approval form";

(2) the hospital stamped consent to send the Municipal Bureau of Health Insurance Business Office Hall "" treatment review "window for approval. Treatment Review" window for approval (except for intra-city referral for treatment);

(3) Hospitalization in the transferred hospital. In principle, out-of-town transfers are only made to Nanchang provincial-level and Shanghai tertiary-level hospitals that are local health insurance designated hospitals.

Three, medical insurance participants in the process of reimbursement of medical expenses

1, the patient in his designated hospital hospitalization, the hospital directly to the hospital health insurance window settlement after discharge.

2, referral to the hospital, you need to provide invoices, discharge summary, cost lists, certificates of illness (off-site emergency needs to be attached to another certificate of emergency), the city (outside) referral to the hospital approval form, a copy of the ID card, the account bank and the account number, contact phone number, will be sent to my designated inpatient hospital health insurance office for review, the next end of the month to the account of the bank to query reimbursement and the arrival of the status of the bank.

3. The procedures for reimbursement of medical expenses for relocated personnel are the same as above 2.