Yunnan medical insurance can be reimbursed from other places

Yunnan medical insurance can be reimbursed.

But to apply for a foreign medical record, the record in the foreign medical insurance designated hospitals can be used. Not for foreign medical record is not available in the field of use.

Different medical insurance reimbursement process:

1, different medical insurance reimbursement medical insurance personal account medical expenses can be regularly in the medical insurance bureau for funds transfer procedures, the social security card account in the medical insurance funds transferred to your bank account, usually occur outpatient medical expenses by the individual out-of-pocket expenses;

2, the different medical insurance reimbursement if the occurrence of hospitalization, then you need to report to the Medical Insurance Bureau For the record, when discharged from the hospital with the hospital's diagnostic certificate, discharge summary, medication schedule, medical expense receipts, medical insurance to the medical insurance bureau for inpatient medical expense settlement, foreign medical insurance reimbursement if the person can not come to the agent can be entrusted to deal with;

3, hospitals in foreign provinces if the local health insurance designated hospitals;

4, reimbursement rate of the threshold fee of more than to 3,000 yuan for 88%, 3,000-5,000 yuan for The reimbursement rate is 88% for the threshold fee up to RMB 3,000, 90% for RMB 3,000-5,000, 92% for RMB 5,000-10,000, and 95% for RMB 10,000 and above up to the maximum payment limit, of which 80% for Class B drugs, 70% for expensive drugs, and 70% for special examinations and special treatments. The medical insurance personal account medical expenses can be regularly in the medical insurance bureau for funds transfer procedures, the hospital in foreign provinces if the local medical insurance designated hospitals.

Materials needed for reimbursement of medical insurance:

1, IC card, basic medical insurance card (green with photo) or urban residents' basic medical handbook;

2, valid receipts (invoices);

3, summary list of hospitalization medical expenses, medical insurance referral letter, certificate of discharge;

4, hospitalization Materials: the first page of the hospitalization medical record, admission records, surgical records, discharge summary, large-scale examination report card, long-term medical orders, temporary medical orders copy (to be stamped with the seal of the attending medical institution).

In summary, the participants who participate in and enjoy the basic health insurance benefits, can go to foreign medical treatment, foreign medical treatment needs to be filed first, in the designated medical institutions in the place of medical treatment can be settled by brushing the medical insurance.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Conforms to the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency and 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.