1, transfer certificate issued by the hospital in this city;
2. Take the transfer certificate issued by the hospital to the local and district social security offices (medical insurance offices) for the examination and approval of medical treatment in different places;
3. Original hospitalization invoice of designated hospitals in different places;
4, the original list of machine costs;
5. A valid copy of the inpatient medical record (stamped with a valid hospital seal) 1 copy;
6. 1 copy of ID card.
Social security off-site filing process:
1, application
(1) take the number
The applicant applies in the street government service hall or the management station of each branch of the medical insurance bureau. According to the needs of the applicant's work, the hall consultation and guidance personnel will guide the applicant to take the number in turn in front of the hall pager. The system will automatically generate and print the processing sequence number, and the applicants will wait in line according to the processing sequence number.
(2) Apply for acceptance
The applicant submits an application at the window of each medical insurance branch, and the accepting staff immediately receives the application submitted by the applicant on the spot;
Step 2 accept
If the applicant applies in the service hall, the acceptance personnel will examine and accept the paper materials on the spot and put forward the acceptance opinions;
Step 3 review
The contents to be audited by the recipient are:
A. Whether the applicant meets the application qualification;
B, whether the application materials are complete, whether the format is standardized, and whether it conforms to the statutory form;
C, whether it belongs to the scope of acceptance of the department; Whether to stop processing.
Step 4 agree
After checking the corresponding information and confirming that it is correct, make a decision on approval or disapproval;
5. Processing results
A if the materials are complete and approved, they shall be sealed and settled on the spot;
B. If the materials are incomplete, please tell me to fill in the materials before applying.
Conditions for applying for social security in different places:
1. The insured persons in this city often seek medical treatment and file business in the Mainland.
Meet one of the following conditions can apply:
(1) The insured registered in this Municipality has been working or living outside this Municipality (excluding Hong Kong, Macao and Taiwan) for a long time;
(2) The insured who has reached the statutory retirement age lives in the Mainland;
(3) The insured of the through train enterprise in this city is permanently resident in other cities in China (excluding Hong Kong, Macao and Taiwan).
2. Direct settlement and filing business for dual-creative personnel seeking medical treatment across provinces. Refers to people who are not registered in Shenzhen, are normally insured in Shenzhen, and are sent to other cities in China for work reasons or return to their registered residence for some reason.
To sum up, after discharge, patients should submit their ID cards (or household registration books), certificates of the new rural cooperative medical system, copies of medical records, hospitalization statements (some in the form of invoices), hospitalization expense lists and referral filing procedures to the joint management office for reimbursement.
Legal basis:
Article 29 of People's Republic of China (PRC) Social Insurance Law
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 30
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.