Dental clinics of designated medical institutions can use the medical insurance card for cross-city settlement; however, participants need to first register and record with the medical insurance agency in their place of registration. In the case of cross-city medical treatment, the individual needs to pay the medical expenses first, and then reimburse the medical insurance agency in the place of domicile with the relevant certificates. In addition, 27 provinces (autonomous regions and municipalities) across the country have carried out trial runs of inter-provincial direct settlement of general outpatient expenses, which facilitates reimbursement of expenses by insured persons when they seek medical treatment in other places.
The regulations on the inter-regional use of medical insurance:
1. The process of inter-regional medical treatment for basic medical insurance: first of all, it is necessary to apply for the record of inter-regional medical treatment in the medical insurance department of the place where the insured person is enrolled;
2. The scope of the direct settlement of inter-regional medical treatment: it usually includes emergency medical treatment, outpatient special diseases and hospitalization;
3. The reimbursement ratio of the medical treatment for inter-regional medical treatment: the ratio of the reimbursement ratio of the medical treatment for inter-regional medical treatment may be lower than that of the place of participation, depending on the policy of each place.
3. Reimbursement rate for medical treatment in other places: the rate may be lower than that of the insured place, depending on the policy of each place;
4. Submission of information on medical treatment in other places: after medical treatment, you need to submit the relevant cost lists and invoices to the medical insurance department of the insured place;
5. Restrictions and regulations on medical treatment in other places: in some areas, there may be restrictions on the level and type of hospitals for medical treatment in other places.
In summary, the dental clinic can be cross-city brush health insurance, but participants need to first register in the place of insurance, cross-city medical need to advance the cost and reimbursement to the place of domicile with supporting documents. In addition, 27 provinces (autonomous regions and municipalities) have carried out trial runs of inter-provincial direct settlement of general outpatient expenses to facilitate the reimbursement of expenses by insured persons when they seek medical treatment in other places.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 29
The part 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 administration organization with the medical institutions and 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.