Medicare card cross-city use process:
1, the social security card of the medical insurance cross-city use, you can use the medical insurance fund to reimburse hospitalization expenses, but the insurance ratio is generally lower about 5%-10%;
2, you need to be in the local hospital issued a referral order for medical insurance after the medical insurance record of the medical care in a different place;
3, through the national record of the medical record of a different place of the small program, or Call the local social security to obtain consent for the record of medical treatment in a different place.
Materials needed for the reimbursement of medical insurance for medical treatment in other places:
1, IC card, basic medical insurance medical card (green with photo) or urban residents' basic medical handbook;
2, valid receipt slips (invoices);
3, hospitalization summary list of medical expenses, medical insurance referral and transfer letter, certificate of hospital discharge;
4, hospitalization Materials: the first page of the hospitalization medical record, admission record, operation record, discharge summary, large-scale examination report form, long-term medical advice list, temporary medical advice list copy (to be stamped with the seal of the attending medical institution).
Scope of reimbursement:
1. The medical expenses in this regulation refer to the expenses within the scope of medical insurance incurred in the designated medical institutions of medical insurance in this city;
2. The scope of reimbursement for medicines is based on the drug catalogs of the basic medical insurance, industrial injury insurance and maternity insurance of Shanghai at the time of medical treatment as well as the relevant supplemental regulations;
3. The basic medical service facilities, basic diagnostic and therapeutic items, medical materials, surgical procedures, and other medical services are all covered by the basic medical insurance. diagnostic and therapeutic items, medical materials, surgical instruments and equipment, etc. The scope of reimbursement shall be implemented with reference to the relevant provisions of the basic medical insurance for employees in Shanghai. Among them, the reimbursement scope of the insured is implemented according to the provisions of the residents' medical insurance.
In summary, the participants who participate in and enjoy the basic medical insurance treatment, can go abroad for medical treatment, you need to first apply for the record of foreign medical treatment, in the designated medical institutions in the place of medical treatment can be settled by brushing the Suzhou medical insurance.
Legal basis: "Chinese people*** and the State Social Insurance Law" Article 28
In line with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facilities standards, as well as emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.
Article 29
The portion 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 administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.