The following three conditions need to be fulfilled at the same time for referral to a different place: the disease is a difficult disease, which cannot be diagnosed by the specialists of the city's Grade 3A or municipal specialized hospitals or cannot be further treated due to the limitations of the city's hospitals in terms of medical technology and equipment; the hospitals that are referred to a different place for consultation should be the designated medical institutions of the local basic medical insurance; the medical institutions that are referred to a different place should be higher than the city's. The level of treatment should be higher than that of the city's medical institutions, so that the hospitals in which the disease is referred should be the designated medical institutions of the local basic medical insurance. The medical institutions should be higher than the city of diagnosis and treatment level.
Legal basis:
"People's Republic of China Social Insurance Law" Article 28
In line with the basic medical insurance drug list, diagnostic and treatment items, standards of medical services and facilities, as well as emergency and rescue medical expenses. paid from the basic medical insurance fund in accordance with state regulations.
Expanded informationThe process of off-site referral:
1, the applicant or delegate to the hospital to undertake the referral business to apply;
2, attending physician and above to fill out the approval form for off-site referral;
3, the hospital to organize expert consultation and put forward the views of the blind book;
4, the hospital health insurance office review and registration;
4, the hospital medical insurance office to examine and register;
4, the dean of the department in charge of the review Signed agreement;
5, the applicant or delegate to carry the Chun rough off-site referral approval form before grinding Senhong to the social security institutions for approval procedures.
Transferred out of the designated medical institutions should be at the same time the referral information to the municipal social insurance agency for the record.
After the participant is referred to the out-of-town medical treatment, the need for re-referral should be issued by the medical institution outside of the city where the re-referral certificate is issued.