Medical insurance hospitalization procedures how to handle

1. Hospitalization in a different place: the behavior of medical insurance participants who seek medical treatment and purchase medicines in a region other than the place where they are insured. For Panzhihua city urban basic medical insurance participants (hereinafter referred to as participants), is the process of medical treatment and purchase of medicines outside of Panzhihua city.

2. What kinds of people in Panzhihua need to register for medical treatment in other places?

Answer: First, the retired resettlement and long-term residence (work) in a different place; second, due to the need for treatment of diseases transferred to a higher level of medical institutions for medical treatment; third, the insured persons due to business trips, family visits, tourism and other temporary departure from the place of residence during the sudden emergency in a different place in need of hospitalization; fourth is eligible for retired cadres, the second grade B or above, revolutionary military personnel (including the police), and other special care groups.

3, Panzhihua City, how to handle the registration of the insured personnel referral to the hospital for the record? What are the hospitals in the province that can be referred to?

A: Due to the limited level of medical technology or facilities, equipment and other conditions, Panzhihua insured persons who need to be transferred to a higher level of medical institutions for treatment should go through the procedures of referral and transfer to a hospital in accordance with the relevant provisions of the Panzhihua Municipal Health Insurance Administration and make a record of medical treatment in a different place. The insured person who has gone through the procedure of transferring to a hospital can only be hospitalized in the hospital to which he has been transferred for the record.

At present, the Panzhihua Municipal Health Insurance Agency approved by the provincial hospitals can be referred to the hospital: West China Hospital of Sichuan University (including the first hospital, the second hospital, the fourth hospital, Chengdu Shangjin Nanfu Hospital), Sichuan Provincial People's Hospital, Sichuan Cancer Hospital, Sichuan Provincial Maternal and Child Health Center, Sichuan Orthopaedic Hospital, the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, the People's Liberation Army Chengdu Military Region General Hospital, People's Liberation Army 452 Hospital (Air Force Chengdu Hospital), People's Liberation Army 47 Hospital (First Affiliated Hospital of Chengdu Medical College), Armed Police Sichuan General Hospital, Aviation Industry Chengdu 363 Hospital (γ knife treatment only).

4. What is the reimbursement policy for medical expenses in other places for insured persons who have registered for medical treatment in other places in Panzhihua City?

Answer: According to the principle of "treatment in the place of insurance", the insured persons in Panzhihua City will be reimbursed for the medical expenses incurred in the province for medical treatment across cities (states) according to the medical insurance policy of Panzhihua City.

5, Panzhihua City insured persons for medical treatment in a different place for admission to the hospital what procedures are required?

Answer: The insured person should provide his/her social security card, relevant identification and other information required by the hospital. When they are admitted to the hospital, they need to pay a certain amount of pre-payment according to the regulations of the medical institution in the place of medical treatment, and then settle the individual payment according to the medical insurance policy of Panzhihua City, and then make up for the difference after the settlement.

6, Panzhihua City, the immediate settlement of medical policy and business consulting telephone:

Municipal Health Insurance Bureau 0812-3300433

East District Health Insurance Bureau 0812-2228659

West District Health Insurance Bureau 0812-5556578

Renhe District Health Insurance Bureau 0812-2911875

Yanbian County Health Insurance Bureau 0812-8658086

Miyi County Health Insurance Bureau 0812-8178657