Can the province's off-site medical insurance in the hospital direct reimbursement?

If you have been hospitalized in a different place, if you have been referred to a local hospital at or above the county level (including the county level), or if you have gone through the procedure of filing a record of medical treatment in a different place with a local health insurance organization, you can be reimbursed by the health insurance directly in the hospital where you are staying. If you don't have the formalities, you can't be reimbursed directly at the hospital where you live.

The insured person can get medical treatment at the designated medical institution in the recognized foreign place after going through the confirmation procedure of medical treatment in the foreign place. The individual medical account amount can be withdrawn from any business outlets with the medical insurance card for outpatient general medical expenses and the cost of purchasing and dispensing medicines in pharmacies.

Participants who are sick and hospitalized (including outpatient specific item treatment) can go to the recognized local designated medical institutions for hospitalization and outpatient specific item treatment, and the medical expenses will be paid by the individual first, and then within 1 month from the date of discharge, the participating units will apply for reimbursement from the Municipal Medical Insurance Center by presenting the following information;

1, a copy of the front and back of the medical insurance card;

2, a confirmed "application for medical treatment in a different place", and the "application for medical treatment in a different place", and the "application for medical treatment in a different place". Confirmed copy of "Application Form for Medical Treatment in a Different Place";

3, Certificate of discharge or diagnosis, medical expenses belonging to specific items of outpatient need to be attached with a copy of "Outpatient Special Application Form" approved by the Municipal Health Insurance Center (except for emergency hospitalization);

4, detailed list of medical expenses.

Strengthening penalties for violations. The introduction of the participant's violation of penalties, and crack down on health insurance fraud. For off-site designated hospitals to facilitate the impersonation and fraud of participants.

Cancel its off-site designated hospital qualification, and at the same time reflect the situation to the local health insurance agency, and gradually develop to the national health insurance system through the internal network to inform each other of the relevant information, the violation of hospitals on the blacklist.

With the development of the situation will be designated hospitals, designated pharmacies, insured persons of the health insurance behavior of the integrity of the social integrity system, mobilizing the power of the whole society to restrain the health insurance fraud.