1. Which insured persons can handle trans provincial insurance Get medical treatment in other places hospitalization medical expense Direct settlement?
A: The following four categories have participated in the basic medical insurance The staff and workers of state organs, enterprises and institutions and urban and rural residents can apply for direct settlement of medical expenses for cross provincial and non local medical treatment.
（1） Resettlement of retirees in different places: refers to the persons who settle down in different places after retirement and whose household registration has moved to the place of residence.
（2） Long term resident in another place: refers to resident in another place life And meet the requirements of the insured place.
（3） Resident staff in different places: refers to the staff dispatched by the employer to work in different places or in foreign affairs and who meet the requirements of the insured place.
（4） Non local referral personnel: refer to the personnel who meet the referral regulations of the insured place.
2. Where can the insured apply for registration of medical treatment in other places?
Answer: The insured person applies to the medical insurance agency in the place where he/she is insured for registration of medical treatment in another place.
3. What is the certificate for cross provincial medical treatment?
Answer: The only certificate for cross provincial medical treatment is the social security card issued by the human resources and social security department.
4. Can holding a social security card realize the "nationwide roaming" of direct settlement of hospitalization expenses for medical treatment in other places?
A: It is a misunderstanding to "travel around the country" for medical treatment in other places. At present, for medical treatment in other places, the insured still needs to choose a medical treatment place according to their own conditions, submit application materials to the medical insurance agency in the insured place for registration, and then realize direct settlement of hospitalization expenses for medical treatment in other places through the non local medical treatment platform of the Ministry of Human Resources and Social Security.
5. How to query the designated medical institutions for direct settlement of cross provincial and non local medical treatment?
A: The list of cross provincial and non local designated medical institutions can be passed“ social insurance Online query system "(si. 12333. gov.cn). The data on the website will be updated dynamically with the increase or decrease of designated institutions.
6. Can I pay directly by swiping the card when I buy medicine at the pharmacy or at the outpatient service of the hospital after I have handled the medical record of relocation in other places?
A: At present, direct settlement of cross provincial and cross regional medical treatment only supports direct settlement of inpatient expenses for the time being. In the future, direct settlement of outpatient service and drug purchase at designated pharmacies will be gradually realized when conditions are ripe.
7. Do you need the approval of the local agency or medical institution to go through the formalities of relocation filing?
Answer: It is not necessary for the local agency or medical institution to provide approval and seal procedures for handling the registration formalities of relocation.
8. Do you still need to select designated medical institutions to handle the procedures of relocation filing?
Answer: When the insured fills in the record form, the information of the medical institution will not be filled in the "column of medical institution". The insured will select the trans provincial designated medical institution opened in the city where the insured person goes to see the doctor according to the condition, residence, transportation and other conditions, and the local agency will directly record the insured person to the city where the insured person goes to see the doctor. The insured can go to Beijing, Tianjin, Shanghai, Chongqing and Hainan for medical treatment, and can only go to the province where they are registered, instead of the city, district or county where they are registered.
9. Can I pay directly by swiping the card in the original insured place after going through the registration formalities for medical treatment in other places?
Answer: After going through the registration formalities for medical treatment and resettlement in other places, you can't pay directly by swiping your card in the original insured place.
10. How to settle the hospitalization medical expenses of cross provincial and non local medical insurance participants?
Answer: The inpatient medical expenses incurred shall be subject to the payment scope and relevant regulations stipulated by the place of medical treatment (basic medical insurance drug catalogue, medical service facilities and scope of diagnosis and treatment items). The minimum payment standard, payment proportion and maximum payment limit of the medical insurance fund shall be subject to the policies of the insured area. At the time of discharge settlement, the insured only needs to bear the personal expenses that comply with the medical insurance treatment policy. The expenses paid by the medical insurance fund shall be settled by the local medical insurance agency and the designated medical institution according to the agreement, and the local medical insurance agency shall settle the medical insurance fund with the local medical institution through the non local medical platform according to the regulations.
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