Taking Foshan Hospital of Traditional Chinese Medicine as an example, the routine transfer procedures are as follows:
Step 1: The attending doctor of the transferred hospital fills in the "Foshan Basic Medical Insurance Participation Form" "Recording Form for Transfer of Insured Persons to Hospitals" (hereinafter referred to as "Recording Form");
The second step: the medical department of the transferring hospital shall review and stamp the "Recording Form";
Third Step: Enter the "Registration Form" into the medical insurance system at the front desk of the transfer hospital's charging office;
Step 4: The insured person or the agent holds the "Registration Form", the insured person's ID card, medical records, etc. Submit relevant information to the social security institution where you are insured to apply for transfer approval procedures.
After completing the four steps in this way, the insured person can enjoy social security reimbursement for the medical expenses incurred by hospitalization in hospitals outside the city. In addition, if the insured needs treatment for acute or critical illness, he or she can be transferred to another hospital first, and at the same time, entrust another person to apply for re-approval of the transfer within 5 working days from the date of admission. If you go to a medical institution outside the city for hospitalization without approval from the social security institution where you are insured, the medical insurance fund will not pay.
Extended information:
Referral transfer settlement
1. The insured person is transferred to other medical institutions for diagnosis due to limited conditions of designated medical institutions or due to specialized diseases. For treatment, a referral approval form must be filled out. The treating physician will put forward the reasons for the transfer, the department director will put forward the opinion on the transfer, and the medical institution's medical insurance office will review it, the director in charge will sign it, and the case can be transferred to the municipal medical insurance center for approval.
2. In principle, referrals should be made within the city first and then outside the city, and first within the province and then outside the province. Referrals within the city are stipulated to be conducted between designated medical institutions. Referrals from outside the city must be made by designated medical institutions above level three in this city.
3. The medical expenses incurred after the insured person is transferred to another hospital shall be paid in advance by the individual or unit in cash. After the medical treatment is completed, the insured person or his agent shall hold the transfer approval form and medical records. With certificates, prescriptions and valid documents, go to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of payment by the unified fund.
Reference: Foshan Hospital of Traditional Chinese Medicine - Know more about transfer procedures, so you don’t have to worry about medical insurance reimbursement