Jiangyou, a county-level city under the jurisdiction of Sichuan Province, Mianyang City. Therefore, the social security card of Chengdu city can not be used directly in Jiangyou city, it is necessary for the employee to apply for medical treatment in a different place, then advance cash, and return to the place where the social security payment is made for reimbursement within one month after the hospital discharge.
There is no clear legal definition of medical treatment in a different place, in the context of social health insurance, "different place" generally refers to other domestic areas outside the coordinating area of the insured, "medical treatment" is the insured person's medical behavior, medical treatment in a different place. It can be simply defined as the medical behavior of a participant that occurs outside of the region where he or she is insured.
Declaration Procedures
1. After the participant has gone through the procedure of confirming the medical treatment in a different place, he or she can seek medical treatment in the designated medical institutions in the recognized different place. The amount of the individual medical account can be withdrawn from any of the business outlets with the medical insurance card, and can be used to pay for outpatient general illnesses and the costs of purchasing and dispensing medicines at pharmacies. Participants who are sick and hospitalized (including outpatient treatment for specific items) can go to the local designated medical institutions for hospitalization and outpatient treatment for specific items, and the medical expenses will be paid by the individual first, and then within 1 month from the date of discharge from the hospital, the participant can apply for reimbursement to the Municipal Medical Insurance Center by presenting the following documents;
1) a copy of front and back of the medical insurance card;
2) a copy of the confirmed Application Form of Outpatient Treatment in a Different Place;
3) a copy of the Application Form of Outpatient Treatment in a Different Place;
3) a certificate of discharge or diagnosis, and a copy of the "Outpatient Application Form" approved by the Municipal Health Insurance Center for outpatient medical expenses for specific items (except for emergency inpatient treatment);
4) a detailed list of the medical expenses;
5) an official ticket of the medical expenses (signed by the person who reimburses the expenses on the back);
2. The participant shall apply for reimbursement of outpatient medical expenses when he/she goes to When a participant suffers from an acute illness during a business trip, study trip or family visit abroad (excluding Hong Kong, Macao and Taiwan), he/she can go to the local public hospital for medical treatment, and the outpatient medical expenses are to be taken care of by the participant himself/herself; the expenses incurred in the approved hospitalization (including the emergency inpatient treatment) are to be applied for piecemeal reimbursement by the unit operator with the following information to the Municipal Health Insurance Center after the participant has made a cash advance: [
1) a certificate of the participant's unit;
2) a certificate of the medical insurance center;
3) an official receipt (with the claimant's signature on the back) p>
2) a copy of the front and back of the medical insurance card;
3) a certificate of discharge or diagnosis;
4) an itemized list of medical expenses;
5) an invoice of the medical expenses (with the reimbursement person answering the name on the back);
6) a copy of the hospitalization medical record.
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