Comprehensive medical insurance and inpatient medical insurance participants may apply for referral to out-of-town medical institutions if any of the following circumstances apply to them: 1. the type of illness belongs to the types of referral illnesses announced by the municipal labor security department; 2. the difficult illnesses that are not diagnosed by the city's tertiary hospitals or municipal specialized hospitals; 3. the critical illnesses that are not currently diagnosed or treated with equipment or technology at the city's tertiary hospitals or municipal specialized hospitals; 4. the critical illnesses that are not treated with equipment or technology at the city's tertiary hospitals or municipal specialized hospitals. Critically ill patients for whom the city's tertiary hospitals or municipal specialized hospitals do not currently have the equipment or technology to diagnose and treat.
Procedures: meet the conditions of out-of-town referral comprehensive medical insurance, inpatient medical insurance participants, applying for referral to out-of-town medical institutions, should be handled in accordance with the following procedures for referral to the hospital: 1. by the city's admission to the tertiary hospitals or municipal hospitals, the attending physician to provide a summary of the medical records, the reasons for referral; 2. by the attending physician to fill out a duplicate of the "social health insurance out-of-town referral review and examination Application Form"; 3. signed by the director of the transferring hospital department, the medical office or medical insurance office audit and stamped with the official seal of the hospital, belonging to the designated medical institutions approved by the disease, can be referred to out-of-town medical institutions; belonging to the city social security institutions approved by the disease, can be referred to out-of-town medical institutions after approval. The medical institution that accepts the referral shall be a non-profit medical institution of the same or higher level as the medical institution to which the referral is made.
Legal basis:
"Hospital referral system" 1, referral is divided into three categories: referral to higher hospitals: our hospitals because of the equipment conditions or technical conditions of the limitations can not diagnose and treat the critical and difficult patients to higher hospitals. Referral to lower hospitals: patients whose conditions have improved after treatment in our hospitals or whose conditions have been clearly diagnosed to be less serious are referred to lower hospitals in order to save costs or to facilitate the patients' life and care. Two-way referral: such as tuberculosis or other special diseases of the two-way referral, such as transfer to the CDC treatment.