1, the medical relationship in the local insured in the provincial and municipal health care institutions in the medical cost of the emergency, in the city due to the pre-hospital emergency medical expenses, social security card or medical card loss or reporting period of loss of emergency medical expenses. medical expenses incurred during the period of reporting loss or damage of the social security card or medical insurance card.
2. Outpatient and emergency medical fees, emergency observation and inpatient medical fees incurred in the place of residence of the insured person whose medical relationship is in a foreign city or province.
2. Documents and information:
1. To apply for reimbursement of outpatient and emergency medical fees, the insured person should bring along valid documents (ID card, household registration book, etc.), social security card or medical insurance card, special receipt for outpatient medical fees, special receipt for emergency medical fees, relevant medical history and copies, emergency page of the record book of outpatient and emergency medical treatment, and a copy of the page of the emergency section of the outpatient and emergency medical record book (medical fees incurred by persons whose medical relationship is with the local government in the local government's medical insurance designated medical institutions). (medical expenses incurred in the city's designated medical institutions for those whose medical relationship is with the city). In case of damage to the medical insurance card, a notice of damage to the medical insurance card is also required.
2. When applying for reimbursement of hospitalization and emergency room observation expenses, the insured person shall provide a special receipt for medical expenses, a list of medical expenses incurred during hospitalization (a list of medical expenses incurred in the emergency room) and a copy of it, and a copy of the hospital discharge (observation) summary.
3. When applying for outpatient medical fee reimbursement for major illnesses, the insured person shall provide a special receipt for outpatient medical fees, a certificate of diagnosis of the disease and a copy of the certificate, and a report of the relevant examination and a copy of the report.
4. Participants can entrust others to handle the application on their behalf. The delegate is required to bring along his/her own and the participant's valid documents (ID card, household register, etc.).
Third, for
Participants should bring the relevant documents and information to the neighboring county health insurance center or service point to apply for sporadic reimbursement of medical expenses.
Fourth: Payment Methods
Payment of reimbursed medical fees is made by bank card.
V. Scope of hospitals
1. Participants whose medical relationship is in a foreign province or city should go to the designated hospitals of the local medical insurance; if the local medical insurance is not in place, they can go to the hospitals above the township health centers approved by the local health administrative department.
2, medical relations in the city of the insured in foreign provinces and cities in the emergency medical care, in accordance with the above provisions.
VI. Scope of Medical Expenses
1. Sporadic reimbursement of medical expenses incurred by a participant who seeks medical treatment in a foreign city or province shall be in accordance with the provisions of the city's basic medical insurance for diagnostic and treatment items, medical service facilities and the scope of medication. Where the relevant provisions of the local medical insurance can be provided, reference may be made to the relevant local provisions, but the application for reimbursement shall not be made with reference to the provisions of two regions at the same time.
2. When medical expenses are reimbursed sporadically, the deduction of individual account funds, the standard of outpatient and emergency outpatient deductibles, and the starting and maximum payment limits for hospitalization shall be implemented in accordance with the relevant standards of the medical insurance year in which the date of the special receipt for medical expenses occurs.