1. First confirm whether to seek medical treatment in different places in the province or across provinces. If it is the former, it does not need to be filed;
2. If it is a cross-provincial medical treatment in different places, the insured person will fill in the approval form for medical treatment in different places at the social security center of the insured place with the social security card for registration;
3. Designate 1 to 3 medical institutions in the place of residence according to the principle of proximity after being approved for filing;
4, inter provincial medical settlement, medical personnel in different places should hold the social security card issued by the insured in the selected designated medical institutions for medical treatment.
Proof materials required for off-site filing:
1, valid residence certificate handled by the public security organ at the place of residence.
2, social security card and a copy.
3, referral confirmation table.
4. Admission introduction information issued by the hospital.
Matters needing attention
1. If the resettlement personnel need to be hospitalized, they should call the local medical insurance agency to go through the filing procedures, and then go through the hospitalization procedures with their social security card (certificate) and ID card. Other medical procedures are the same as those of the referral staff.
2. According to relevant policies, the overall fund is currently directly settled by municipal agencies and designated hospitals. From 20 12, in principle, it will be settled once a month, and the settlement will be completed before the next month 15. If the number of inpatients is small, it can be settled once a quarter.
3. Generally, medical treatment in different places can only reimburse hospitalization expenses and emergency expenses, and only a few cities can reimburse settlement outpatient expenses;
4. The scope and proportion of reimbursement for medical treatment in different places: subject to the medical insurance catalogue of the medical treatment place, such as drugs, medical devices, medical treatment items and service facilities that need to be included in the medical insurance catalogue of the medical treatment place. The reimbursement ratio is subject to the policy of the insured place, including deductible, reimbursement ratio and reimbursement limit.
5. If it is a hospital that supports direct settlement in different places, you can complete the settlement directly in the settlement window when you go through the discharge formalities. If you encounter special circumstances, such as system failure, you still need to bring medical information and go back to the insured place to complete the reimbursement.
Article 24 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the state shall establish and improve the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 27 stipulates that individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state when they reach the statutory retirement age and their accumulated contributions reach the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
Article 45 of the Constitution of People's Republic of China (PRC) stipulates that China citizens have the right to receive material assistance from the state and society in case of old age, illness or incapacity to work. The state develops social insurance, social relief and medical and health services that citizens need to enjoy these rights. The state and society guarantee the life of disabled soldiers, provide pensions for the families of martyrs and give preferential treatment to the families of soldiers. The state and society help arrange the work, life and education of blind, deaf, dumb and other disabled citizens.
Article 46 stipulates that the people of China and citizens of China have the right and obligation to receive education. The state trains young people, teenagers and children to develop in an all-round way in morality, intelligence and physique.