1, medical care in the place of participation;
2, foreign medical care within the province;
3, cross-provincial foreign medical care;
4, on the basis of the type three, there are medical care in other provinces.
The filing of cross-provincial medical insurance can be handled according to the following two kinds of:
1, the provincial record of cross-provincial medical insurance: in the province of cross-provincial medical treatment, there is no need to apply for the record, directly in the hospital settlement can be;
2, cross-provincial cross-provincial medical insurance filing of the participant in the agency for the record to bring the record of the registration form, identity card and other materials to the participant in the agency for the record, according to the relevant provisions, offline filing procedures are not as good as before, and the record is not as good as before, but it can be used as an alternative. According to the relevant regulations, the offline filing program is not as cumbersome as before.
The object of filing for medical treatment in a different place:
1. Retirees who have settled in a different place after retirement and whose household registration has been moved to the place of settlement.
2. Long-term residents in a different place: those who live in a different place and meet the requirements of the insured place.
3. Resident workers in a different place: those who are sent by their employers to work in a different place and meet the requirements of the place of insurance. The above three categories of personnel referred to as "resident personnel", the procedures will be suspended at the same time as the social security card and health insurance electronic vouchers in the direct settlement function of the insured place, for the record 60 days before applying for the record to cancel the procedures. 4. Referral from other places: refers to those who need to be referred to overseas hospitals for treatment because they suffer from difficult and serious diseases that cannot be diagnosed and treated under the conditions of medical technology and equipment limited to the city, and are diagnosed by hospitals with referral qualifications at or above the city or county level. Referral filing is valid for one year.
5. Autonomous referrals: Participants who are not in the above "four categories of personnel" and who go to the designated hospitals for medical treatment on their own without going through the referral procedures according to the regulations of the place where they are insured. The record of self-referral procedure is valid for one year.
Legal basis:
The Social Insurance Law of the People's Republic of China
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 by the social insurance agency with the medical institutions and the 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.
The Law of the People's Republic of China on Basic Medical Care and Health Promotion
Article 83 of the State establishes a multilevel medical security system with basic medical insurance as the mainstay, supplemented by commercial health insurance, medical assistance, mutual medical care for employees, and medical charity services. The State encourages the development of commercial health insurance to meet the diversified health protection needs of the people. The State improves the medical assistance system to ensure that eligible people in difficulty have access to basic medical services.