Legal analysis: Suzhou city-wide social basic medical insurance participants *** four categories of people can enjoy the policy of direct settlement of medical expenses in other places. Three of these categories are out-of-towners: 1. Retirees resettled in a different place: those who have settled in a different place after retirement and whose household registration has been moved to the place of settlement; 2. Long-term residents in a different place: those who live in a different place and comply with the regulations of the place of insurance coverage; and 3. Staff stationed in a different place: those who are assigned to work in a different place by the employer and comply with the regulations of the place of insurance coverage. The last category is referrals from other places: those who need to be referred to foreign hospitals for treatment due to difficult and serious diseases that cannot be treated by medical technology and equipment limited to Suzhou, and are diagnosed by hospitals at or above the municipal or county level.
Legal basis: The Social Insurance Law of the People's Republic of China
Article 2: The State establishes a social insurance system for basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the right of citizens to receive material assistance from the State and society in old age, sickness, industrial injury, unemployment and maternity, etc. in accordance with the law.
Article 26 The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28 Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue shall be paid from the basic medical insurance fund in accordance with the state regulations.