1, the cross-provincial medical settlement personnel are adjusted to two categories.
One is the permanent residents across provinces, including retirees resettled in different places, permanent residents in different places, migrant farmers, foreign employment entrepreneurs and other people who have worked, lived and lived outside the insured provinces for a long time;
One is temporary medical personnel who go out across provinces, mainly including those who are referred to other places for medical treatment and those who are in urgent need of medical treatment because of work and tourism.
2, the specific process
The insured person can apply for medical treatment in different provinces and places through the medical insurance handling window or Shenyang Smart Medical Insurance APP by presenting his medical insurance electronic certificate, ID card or social security card, and Shenyang Medical Insurance Center will no longer review the filing materials.
After handling self-service, the insured person can directly settle the account when he is hospitalized in the designated medical institution of the medical place. At present, the hospitalization expenses have been directly settled, but the outpatient service in different places has not been directly settled.
3. In two cases, you need to re-apply for self-service service.
Long-term residents need to re-apply when the medical treatment place or insurance relationship changes;
After the temporary medical staff handle the self-service opening and medical settlement, they need to open the service again before the next inter-provincial medical settlement.
Operating environment: Shenyang Smart Medical Insurance App 3.2. 1, mobile phone model: Apple 12.
Medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. The basic medical insurance fund consists of overall funds and individual accounts. The basic medical insurance premiums paid by individual employees are all included in individual accounts; The basic medical insurance premium paid by the employer is divided into two parts, one part is included in the personal account, and the other part is used to establish the overall fund.
20 16 65438+ 10/2 the State Council issued "opinions on integrating the basic medical insurance system for urban and rural residents" to promote the integration of medical insurance for urban residents and the new rural cooperative medical system, and gradually establish a unified national medical insurance system for urban and rural residents.
On February 20th, 2065438+0616, Ministry of Human Resources and Social Security held a video conference on the nationwide networking of basic medical insurance and direct settlement of medical treatment in different places, and signed letters of responsibility with the first batch of 22 provinces including Beijing, which applied for nationwide networking of basic medical insurance and direct settlement of medical treatment in different places, marking the formal implementation stage of direct settlement of medical treatment in different places.