Under what circumstances can I seek medical treatment in another place?

The treatment level in big cities is higher than that in small places. If the treatment in the insured place is not good, going to a large hospital for treatment is considered to be medical treatment in another place.

If an acute illness occurs when you are on a business trip or traveling, you must seek medical treatment locally, which is also considered medical treatment in another place.

But not everyone can seek medical treatment in other places. They are mainly divided into the following categories:

1. Staff who are permanently stationed in other places

Long-term assignments by the company Employees who travel to work in other places must prove that they have "resided in the other place for a long time."

2. Relocation of retirees in other places

After retirement, parents come to live with their children in another place and transfer their household registration to the local household registration.

3. People who live in other places for a long time

This type of people is the most common, such as the "Beijing drifters", who work and live in other places for a long time, and meet the regulations of the insured place, they can directly Pay directly with your new social security card.

4. Insured persons who meet the referral requirements of the insured place

The people we mentioned earlier who need to seek medical treatment out of town due to their illness must issue a referral certificate locally. .

Furthermore, you have to follow the "procedures":

Record → designated hospital → present the card for medical treatment.

Fill out the "Registration Form for Medical Insurance in Other Places", register with the medical insurance institution in the place where you are insured, designate a hospital in another place, and you can directly swipe your medical insurance card to see a doctor.

The medical insurance reimbursement process for medical treatment in other places is as follows:

1. Register in the insured place. If you want to enjoy medical insurance reimbursement for medical treatment in other places across provinces, you must first register with the medical insurance agency in the insured place. When filing, you must clearly indicate the reason for filing and the location of medical treatment. If you live in another place for more than half a year, you can register for long-term medical treatment in another place.

If you need to change the province where you live for a long time, you can register again. Those who do not live in other places for a long time and need to seek medical treatment in other places can apply for short-term registration. However, short-term registration is only valid for that time and can be applied for multiple times.

Insured persons who suffer a sudden illness while traveling in other places or visiting relatives and need to seek medical treatment in other provinces can make emergency filings, but must submit a copy of their admission to the medical insurance agency in the location where their personal medical insurance is located.

2. For medical treatment in registered hospitals, insured persons can choose three designated hospitals when registering for medical treatment in other places across provinces. Insured persons can choose the hospital for treatment among these three designated hospitals.

3. Hold the social security card to register for admission. The insured person takes the social security card to the designated hospital to register for admission. After discharge, the medical insurance card can be used to reimburse medical expenses at the hospital's off-site settlement window.

One thing that is different about out-of-town settlement is that it only covers hospitalization, but not emergency outpatient services.

The reimbursement scope is based on the place of medical treatment, and the reimbursement ratio is based on the insured place.

If you go directly without filing, it will be more troublesome to go through the follow-up procedures. The deductible may be higher and the reimbursement rate may be lower.

So be sure to file first!