According to the Notice on Further Standardizing the Referral of Basic Medical Insurance for Urban and Rural Residents issued by the National Health and Wellness Committee, community health service institutions can provide corresponding medical services for referred patients.
Specifically, for the basic medical insurance for urban and rural residents, community health service institutions can provide medical services for referred patients when they meet the following conditions:
1, the name of the community health service institution is clearly marked on the referral form;
2, referral documents clearly indicate the need for medical services and diagnosis and treatment departments;
3. The doctor's signature and seal of the referral medical institution shall be clearly marked on the referral form.
Medical insurance card referral shall meet the following conditions:
1. Suggestions for diagnosis and treatment by referring doctors: The referring doctors need to treat the patients, and suggest that the patients go to other medical institutions for further treatment;
2. Signature and seal of the referring doctor: the referring document needs to be signed and sealed by the referring doctor to ensure its authenticity and validity;
3. Name and address of the referral medical institution: the name and address of the referral medical institution should be clearly marked on the referral document, so as to facilitate patients to visit the designated medical institutions;
4. Referral medical institutions for doctor consultation: Referral medical institutions need doctor consultation for further diagnosis and treatment of patients.
To sum up, the medical insurance card referral needs to be carried out in the designated medical institution of medical insurance, and the medical institution for referral also needs to be the designated medical institution of medical insurance, otherwise the referral documents will not be reimbursed. At the same time, referring doctors need to select appropriate medical institutions for referral according to the patient's condition and needs to ensure that patients can get timely and effective treatment.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.