By presenting your ID card and provincial health insurance card, you can directly apply for the health insurance hospitalization registration procedures to be hospitalized. Medical insurance generally refers to the basic medical insurance, is to compensate workers for the economic losses caused by the risk of disease and the establishment of a social insurance system. Through the employer and individual contributions, the establishment of a medical insurance fund, the insured person is sick, medical expenses incurred by the medical insurance organization to give a certain amount of economic compensation.
The Hunan Provincial Health Insurance Bureau issued a notice to further simplify the management of the provincial level provincial medical record registration, clear from May 1, 2021 onwards, to cancel the provincial level insured persons living abroad for a long period of time the provincial hospitalization record registration process, to cancel the provincial level insured persons within the province of the referral of medical treatment (emergency) health insurance record registration process.
I, what is the medical treatment in a different place
The medical treatment in a different place can be simply defined as the medical behavior of the insured person outside the coordinating area of his insurance. In the context of social medical insurance, "foreign place" generally refers to other domestic areas outside the coordinating area in which the insured person is insured, and "medical treatment" is the medical behavior of the insured person.
The people covered by the medical care in other places
1. Retirees resettled in other places: people who have settled in other places after retirement and moved to their household registration;
2. Staff permanently residing in other places: people who have been sent by their employers to work in other places and comply with the regulations of the insured places;
3. People who have transferred to other places: people who have limited medical care in their localities and need to be transferred to the higher level of medical institutions or other cities to seek medical care;
4. cities for medical treatment;
4. Long-term residents in other places: people who have been living in other places for a long time, and these people are more likely to be elderly.
Third, the process of medical treatment in a different place
The first step: filing
Participants can register and log in through the "National Health Insurance Service Platform" mobile app or "National Record of Medical Treatment in a Different Place" WeChat applet. (ID: hrm1688)
Click on the home page of the foreign filing, enter the foreign medical record page, and according to the following steps:
1, according to the actual situation, select the filing information
2, submit the filing notification letter
3, fill out the filing materials
4, filing information is submitted, you can click on the view of the filing results, to check the filing results or status. Query filing results or status.
Step 2: Query the designated hospitals
Participants can query the designated medical institutions that have opened direct settlement of inter-provincial inpatient expenses and those that have opened direct settlement of inter-provincial outpatient expenses on the page of "Record in other places" nationwide.
Step 3: Go to the hospital
The insured person who has successfully filed a record can go to the place where he/she has filed a record, and go to the designated hospitals where direct settlement of inter-provincial inpatient hospitalization expenses has been opened, and can settle the medical expenses directly with the electronic voucher of the medical insurance or with the physical card.
The direct settlement of medical expenses for cross-provincial hospitalization is carried out in accordance with the "directory of the place of medical treatment, the policy of the place of insurance, and the management of the place of medical treatment".
Legal basis
The People's Republic of China Social Insurance Law
Article 28 of the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.
Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units. The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance by insured persons.