Medical expenses can also be reimbursed for those who have not gone through the referral procedures in the province, but they will be reimbursed at 10% on the basis of the original participation rate, and they will bring their ID cards, household registration books and other related materials to the local social security bureau for reimbursement procedures. Process of reimbursement for medical treatment in different places:
1, before hospitalization or within 3 days after hospitalization, call the consultation number of the new rural cooperative medical system in my hometown to register the hospitalization situation;
2. After discharge, the residence certificate must be issued by the neighborhood office or neighborhood committee. If you work outside, you need a work certificate issued by your work unit;
3, after discharge with a copy of medical records, summary list, hospitalization documents, discharge certificate, and then with the patient ID card, cooperative medical certificate and proof of residence or work back to the insured place for reimbursement;
4. If you go directly to a hospital outside the province for chemotherapy from the participating place, you must go through the procedures of referral and transfer before you can go to the other place for hospitalization;
5. The reimbursement rate outside the province is the lowest, and the general deductible is around 2,000, and the reimbursement rate is 45% of the reasonable expenses. If you spend less, it is difficult to reimburse a few dollars. The lower the hospital level, the higher the reimbursement ratio;
6. Medical insurance settlement in different places: establish a settlement mechanism for medical treatment in different places, and explore ways to settle retirees in different places.
Processing method of recommended certificate:
1, find the attending doctor of the hospital in the insured area to issue a diagnosis certificate, give reasons for referral for attending life, and then the director of the department puts forward referral opinions.
2. Go to the hospital toll office and give the diagnosis certificate and referral opinion to the staff for seal.
3. Bring my medical insurance card, ID card and referral certificate to the local medical insurance agency for referral registration, and you will receive a receipt after completion.
4, in the social security agencies for medical treatment in different places for the record, choose the designated medical institutions.
5. When visiting a doctor in a different place, give the receipt to the hospital, and you can directly settle it with medical insurance when you leave the hospital.
Legal basis:
People's Republic of China (PRC) social insurance law
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The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
essay
The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.
Article 4
Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require 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.
Article 63
If the employer fails to pay social insurance premiums in full and on time, the social insurance premium collection agency shall order it to pay or make up within a time limit. If the employer fails to pay or repay the social insurance premium within the time limit, the social insurance premium collection agency may inquire about its deposit account in banks and other financial institutions; And can apply to the relevant administrative departments at or above the county level to make a decision on the allocation of social insurance premiums, and notify their bank or other financial institutions in writing to allocate social insurance premiums. If the balance of the employer's account is less than the social insurance premium that should be paid, the social insurance premium collection agency may require the employer to provide guarantee and sign a deferred payment agreement. If the employer fails to pay the social insurance premium in full and fails to provide guarantee, the social insurance premium collection agency may apply to the people's court for sealing up, distraining and auctioning the property whose value is equivalent to the social insurance premium that should be paid, so as to offset the social insurance premium with the proceeds from the auction.