Suizhou medical insurance seeks medical treatment in different places

Suizhou has opened Hubei government service network for filing, and Suizhou medical insurance participants can log on to Hubei government service network for online cross-provincial and intra-provincial medical treatment filing.

(a) "Hubei government service network" (inter-provincial, provincial record)

Website:/

(two) the government service center medical insurance window offline filing (inter provincial and provincial filing)

Note: Middle-aged and elderly people who have difficulties in online filing can go through the filing procedures at the medical insurance window of the government service center in the insured area.

2 filing process

(a) login "Hubei government service network" online declaration.

(1) Enter "Hubei Government Service Network" (/), and click on the top right to log in.

(2) Register and log in your personal account on this page.

(3) Return to the homepage of Hubei Government Affairs Service Network, enter "medical treatment in different places for record" in the search box, and click Search.

(4) Select the medical record type in different places and click Online.

(5) Select the handling location.

1 Click Suizhou City

Click online directly for the insured directly under the municipal government, and then click online for the insured of counties, cities and districts.

(6) Read "Credit Commitment" and click I have read and promised.

(7) Fill in the form

1. Put yourself on record.

1 Medical treatment in the province: the processing method is self-service, and the insured type is urban workers or urban and rural residents. The medical treatment city selects the city and state in the province as needed (Wuhan is a medical treatment city, and "Hubei Province at the same level" is selected), fills in the name and contact address of the contact person, selects the end time of application filing (the applicant should fill in according to actual needs), and then clicks "Next" after filling in.

2. Inter-provincial medical treatment: the handling method is self-handling, and the insured type is urban workers or urban and rural residents. Select the province and city for medical treatment as needed, fill in the name and contact address of the contact person, select the end time of filing application (the applicant should fill in according to the actual needs), and click "Next" after filling in.

Put on record for others

1 Medical treatment in the province: the treatment method is other, and the insured type is urban workers or urban and rural residents. The medical treatment city should choose the city and state in the province as needed (Wuhan is a medical treatment city, and choose "Hubei Province at the corresponding level"), fill in the name, gender, ID number, contact name and contact address, select the end time of filing application (the applicant should fill in according to actual needs), and click "Next" after completing the application.

2. Inter-provincial medical treatment: the treatment method is for others, and the insured type is urban workers or urban and rural residents. According to the needs, choose the province and city of medical treatment, fill in the name, gender, ID number, contact name and contact address, and choose the end time of filing application (the applicant should fill in according to the actual needs). Click "Next" after completing the form.

(8) After uploading the electronic materials as required, click Submit Application, and the online filing is completed, waiting for the staff of the Medical Insurance Bureau to review (generally, the review will be completed within 2 working days).

(two) the medical insurance window of the government service center is offline for the record.

(1) offline filing process:

Resettlement of retirees in different places with a copy of the first page of the household registration book and my permanent resident registration card;

Long-term residents in different places carry a copy of the residence permit or the original residence certificate of the community where they live;

Residents living in different places hold the certificate sent by the insured unit and go to the window of the government service center to fill out the "Registration Form for Residents Living in Different Places in Suizhou City" in duplicate. After being sealed by the medical insurance bureau, I keep one copy and the other copy is kept by the medical insurance bureau. The filing information will be recorded in the medical insurance settlement system and may not be changed or cancelled within one year.

The application time for medical treatment in different places must be before hospitalization in different places. After applying for medical treatment in different places, medical treatment in Suizhou must be suspended.

Workers who are referred from different places carry the referral certificate issued by local designated medical institutions at or above the second level to the medical insurance window of the government service center for referral filing procedures.

Residents' referral personnel carry the referral certificate issued by local designated medical institutions at or above the second level to the hospital medical insurance office for referral filing procedures.

(2) Medical treatment process:

Medical staff in different places need to be hospitalized because of their illness, and should be admitted after declaration; Critical and rescue patients should be reported by telephone or online within 3 working days after admission (holidays postponed) or handled by others at the scene of the government service center.

Suizhou remote medical record telephone

agency

Insurance type

Record the phone number

municipality directly under the Central Government

Urban workers, urban and rural residents

0722-3233 198

Zengdu district

Urban workers, urban and rural residents

0722-33 15502 0722-3266967

suixian

Urban workers, urban and rural residents

0722-3563658

guangshui city

Urban workers, urban and rural residents

0722-6396208

(3) Medical expenses reimbursement:

1 online settlement:

If a patient is hospitalized in a designated hospital that has opened online settlement for medical treatment in different places, he/she shall go through the admission and discharge procedures with his/her social security card (or his/her resident ID card) and the Registration Form for Medical Treatment in Different Places. The hospitalization expenses are directly settled in the hospital, and individuals only need to pay the expenses that should be borne by individuals according to the medical insurance policy.

2 Non-networked settlement:

In the medical institutions that have not opened the remote network settlement, they will return to the medical insurance window of the government service center of the insured place after discharge and provide the following materials for reimbursement:

(1) Original and photocopy of my ID card and social security card bank card (passbook) (only social security card is required if the social security card UnionPay function has been activated).

(2) Outpatient reimbursement: it is necessary to provide financial or tax printed machine-printed invoices, as well as drug lists and outpatient prescriptions. Those who have already handled chronic diseases should carry the certificate of chronic diseases, and the personal account of retired employees can apply for a one-time payment of their personal account balance according to regulations.

(c) Hospitalization reimbursement: provide a full set of hospitalization medical records, discharge summary, expense list and original invoices stamped with official seals. If the hospitalization expenses at the end of the year are not settled in time, they can be transferred to the next year for review and reimbursement.

(4) medical care:

1 Medical insurance for urban workers:

Those who have been referred from different places for the record are hospitalized in designated medical institutions in the province, and the medical expenses within the scope of the policy are reimbursed after the individual pays 10%; If you are hospitalized in a designated medical institution outside the province, the medical expenses within the scope of the policy will be reimbursed after the individual pays 20%.

Those who go out for medical treatment on their own and are not referred to other places for record, the medical expenses within the scope of the policy shall be borne by 30% before being insured according to the policy standard.

Persons who have retired, lived for a long time, and worked in different places for the record, who seek medical treatment in medical institutions in their places of residence, should report and file with the medical insurance agencies in the insured places within 3 days, and enjoy the treatment according to the medical institutions at the same level in this Municipality.

Insured persons who need hospitalization and rescue in different places due to emergencies such as visiting relatives and traveling shall be reported to the medical insurance agency of the insured place for the record within 3 days of hospitalization. The medical expenses within the hospitalization policy should be 10% at their own expense, and then reimbursed according to the policy standards of hospitals at the same level in the city.

2. Medical insurance for urban and rural residents:

Resettlement of retirees in different places, long-term residents in different places, and filing of staff in different places for medical treatment in medical institutions in their places of residence shall be reimbursed according to the proportion stipulated by tertiary medical institutions in the province.

Those who have been put on record and referred in different places will be hospitalized in designated medical institutions in the province, with 55% reimbursement for medical expenses in class A and 45% reimbursement for class B within the policy scope, and hospitalized in designated medical institutions outside the province, with 45% reimbursement for medical expenses in class A and 35% reimbursement for class B within the policy scope. ..