1. Normal referral: First, the hospital will issue a referral certificate, and then bring the certificate to the Agricultural Cooperative for record. The rural cooperative office will send relevant information to the destination hospital.
2. Abnormal referral: If the patient is in emergency, but goes directly to the superior hospital for treatment without going through the county-level hospital, then he needs to go to the referral office of the new rural cooperative medical system within 3 days of hospitalization.
3, urban workers insured in designated medical institutions (secondary) due to illness, due to limited technical and equipment conditions can not be diagnosed and treated diseases, need to be transferred to the superior designated referral hospital for treatment, by the attending doctor to apply, fill in the "District Urban Workers Basic Medical Insurance Referral Application Form" in detail, after the hospital medical insurance office or medical department audit, with the approval of the dean in charge, reported to the district medical insurance office for approval and filing, and then to the designated referral hospital for hospitalization procedures. All acute, dangerous and infectious cases can be transferred to hospital first, and the relevant procedures can be completed within 3 working days.
Legal basis:
(1) The treatment policy of "long-term residence in different places". After filing, go to the long-term residence for medical treatment. One filing is valid for a long time, and enjoy the same proportion of medical insurance reimbursement as the insured place; In the long-term residence for medical treatment, according to the temporary medical policy.
(two) the treatment policy of "temporary medical personnel". In line with the policy of medical expenses, the individual shall bear 10% first, and the rest shall be settled according to the level of medical institutions and the medical insurance treatment policy of our city; Among them, the inpatient and outpatient clinics that return to the insured area for temporary medical treatment implement the management policy of the insured area.
(three) to cancel the signing restrictions of designated medical institutions. Insured persons who seek medical treatment across cities and provinces in different places in the province are not limited by the scope and grade of contracted medical institutions, and can enjoy outpatient co-ordination treatment and realize online settlement in designated medical institutions connected with medical treatment places. The reimbursement amount in different places and the local reimbursement amount are calculated together, which does not exceed the reimbursement amount of outpatient co-ordination in the current year.
(four) cancel the number of designated medical institutions for medical treatment in different places. Medical treatment in different places is filed directly at the place of medical treatment, and is no longer filed in a specific medical institution. Insured persons can choose medical treatment independently at all networked general outpatient clinics and inpatient designated medical institutions to realize direct settlement. Cancel the limit on the number of designated medical institutions for outpatient chronic diseases in different places.