Legal analysis: there is no clear legal definition of medical treatment in different places, within the scope of social medical insurance, "foreign place" generally refers to other parts of the country outside the scope of the insured person, "medical treatment" refers to the insured person's behavior of medical treatment, which can be simply defined as the insured person's behavior of medical treatment outside the scope of the coordinator. The term "medical treatment" refers to the insured's medical treatment, which can be simply defined as medical treatment outside the insured's coverage.
Recently, 130 hospitals in Yunnan Province, Chongqing, Sichuan, Guizhou, Guangxi, Hainan and Guangzhou have realized real-time settlement of remote medical insurance network. Participants in the hands of the medical insurance card has been officially opened in these six provinces and cities, "roaming" function, it is understood that the relevant designated medical institutions hospitalized in the hospital, only need to pay the policy provisions of the individual part of the payment, the cost of medical insurance payment can be completed directly by card, the hospital and the local health insurance agency for settlement. Similarly, employee health insurance participants from the above six provinces, autonomous regions and municipalities can also use their health insurance cards to settle their bills directly at the eight designated medical institutions in our province.
Legal Basis: The Social Insurance Law of the People's Republic of China
Article 2: The State establishes a social insurance system for basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to receive material assistance from the State and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment and maternity.
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 carried out 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.