Direct settlement process of medical treatment in different places in Hunan medical insurance
1. First of all, the direct settlement of medical treatment in different places is subject to registration and filing management.
Among them, the insured persons resettled in different places shall go through the registration procedures for medical treatment in different places with the valid residence permit (residence permit, household registration book or ID card) handled by the public security organ in the resettlement place; In principle, the insured who has been referred can go through the formalities of direct settlement and filing for medical treatment in different places with the certificate of referral and referral issued by the agreed medical institution determined by the handling institution of the insured place; If the insured person is in an emergency department in a different place, he shall submit a letter of introduction issued by the hospital to the medical insurance agency in the insured place within three working days, including the outpatient (emergency) diagnosis medical record and admission certificate. After confirmation by the insurance agency, go through the registration formalities for medical treatment in different places.
Insured persons who have not gone through the registration formalities and are hospitalized in different places shall not enjoy the direct settlement service for medical treatment in different places, and their medical expenses in different places shall be reimbursed back to the insured place, and the treatment policy shall be implemented according to the relevant provisions of the insured place.
2, the insured in the remote medical registration procedures, should choose their own medical institutions within the scope of the remote medical agreement.
3. The insured should hold the social security card when seeking medical treatment across provinces, and the medical personnel in different places in the province should hold the social security card or ID card (household registration book and guardian ID card) to go through the procedures for seeking medical treatment in different places, and implement the medical institution's medical treatment process and service standard according to the agreement of the different places for medical treatment.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
Fifth people's governments at or above the county level shall incorporate social insurance into the national economic and social development plan.
The state raises social insurance funds through multiple channels. People's governments at or above the county level shall give necessary financial support to social insurance.
The state supports social insurance through preferential tax policies.