Hello! Your surgery is an elective surgery, and generally you cannot choose an agreed hospital outside of the city, but can be transferred to another hospital only if the first hospital is not qualified to treat your condition. Transfer: If an insured employee needs to be transferred to another hospital due to his/her condition, he/she must be consulted by the Municipal People's Hospital, fill in the "Approval Form for Transferring an Insured Employee to the Basic Medical Insurance for Urban Workers in Hancheng City", and then bring the "Approval Form for Transferring an Insured Employee to the Basic Medical Insurance for Urban Workers in Hancheng City" and the records of the consultation to the Municipal Medical Insurance Office to go through the procedure of transferring to another hospital. If the insured employee is transferred to a hospital outside of Weinan City as determined by the Weinan City Bureau of Labor and Social Security (i.e. Xi'an Jiaotong University Affiliated Hospital, Provincial People's Hospital, Provincial Tumor Hospital, Xi'an Municipal Central Hospital), the employee shall apply for reimbursement to the Municipal Medical Insurance Office with the relevant receipts and documents within five days of discharge from the hospital, or the employee shall be held liable for the late payment. Expenses incurred by insured workers who do not fulfill the procedures of transferring to other hospitals or transferring to non-agreed hospitals will not be reimbursed. Reimbursement of medical expenses: ① insured workers transferred to the agreed medical institutions outside the city, the first full advance payment of medical expenses, within ten days after discharge with the relevant information (attached) to the city health insurance office for reimbursement procedures; ② insured workers transferred to the agreed medical institutions outside the city hospitalization, the individual first meet the requirements of the cost of the first 20%, and then self-pay the starting standard of the last year's average salary of 10% of the employees, the remaining part of the normal payment methods Reimbursement. Outpatient expenses will be reimbursed from the individual account, and the excess will be borne by the individual. Reimbursement of medical expenses for transferring insured employees should provide the following information: ① Approval Form for Transferring Insured Employees of Hancheng City Urban Employees' Basic Medical Insurance to Another Hospital and Medical Insurance Card, IC Card; ② copy of medical records; ③ bill for settlement of hospitalization expenses; and ④ one-day checklist corresponding to the bill for settlement. Approval and Settlement Procedures of Medical Treatment and Fees for Different Places for Insured Employees I. Scope of Medical Treatment and Fees for Different Places: If an insured employee residing in a different place, a retiree resettled in a different place, or an insured employee who is sick and needs medical treatment during his/her business trip, visit to his/her relatives, or quasi-vacation period (referring to a vacation outside of the city) is considered as a medical treatment and fees for the treatment and fees for the medical treatment. Approval of medical treatment in a different place: 1. For insured persons and retirees residing in a different place, the insured person shall first make a written application for medical treatment in a different place, fill in the "Approval Form for Medical Treatment in a Different Place of Hancheng City Urban Employees' Basic Medical Insurance", which shall be confirmed by the local medical insurance agency, and shall be approved by the Municipal Office of Medical Insurance before being allowed to undergo medical treatment in a different place. 2. If insured persons fall ill during their travels for business, family visits or quasi-vacation, they may seek medical treatment in the local public medical institutions. 3. If it is necessary to transfer to another hospital for consultation and treatment, if it is not an emergency, it must be approved by the Municipal Medical Insurance Office, otherwise the medical expenses incurred will not be reimbursed. Reimbursement of medical expenses: For insured employees and retirees residing in other places, and for those who go to other places for business trips, family visits or leave, if they need to consult a doctor or buy medicine due to illness, the medical expenses will be paid in full by the individual first. In the case of outpatient treatment, they should go to the Municipal Medical Insurance Office for reimbursement in the middle of January or mid-June every year with the settlement bill of medical expenses, medical insurance card and IC card; in the case of hospitalization, they should contact the Municipal Medical Insurance Office (or contact the Municipal Medical Insurance Office through their work units) within 24 hours after being admitted to the hospital, and then go to the Municipal Medical Insurance Office after being discharged from the hospital with a copy of the medical record, the settlement bill of the hospitalization expenses as well as the one-day list of the hospitalization expenses corresponding to the bill, the medical insurance card and other relevant information, IC card and other relevant information to the Municipal Medical Insurance Office for reimbursement procedures. Reimbursement of expenses: For insured employees who are diagnosed and treated in other places, the relevant treatment items and reimbursement of expenses shall be implemented in accordance with the "Implementation Plan for the Reform of the Weinan City Urban Employees' Medical Insurance System (Trial Implementation)". Out-of-town agreed hospitals: Shaanxi Provincial People's Hospital, Shaanxi Provincial Cancer Hospital (Shaanxi Third People's Hospital), First Affiliated Hospital of Xi'an Jiaotong University, Xi'an Municipal Central Hospital, Chang'an Hospital, Shaanxi Provincial Tuberculosis Hospital, and Xi'an Mental Health Center Participating employees cannot be transferred to non-agreed hospitals outside of the city for treatment.
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