adjusted!It's about Rizhao Medical Insurance!

In order to facilitate the reimbursement of cross -city and cross -provinces in the province (including hospitalization, ordinary outpatient clinics, outpatient slow special diseases), the city further integrates the classification of medical staff in different places, simplifies the process of medical treatment for different places, and adjusts the relevant policies of medical treatment. Give full play to the role of "one card through" medical insurance electronic vouchers, and the functions of network settlement functions in the province and inter -provincial medical treatment, so that insured persons to reimburse in different places are more troubled and convenient.

1. Integrated the classification of medical staff in different places

(1) Receive retirees, resident staff in other places, long -term off -site residents, migrant workers, foreign employment entrepreneurs, and simplified into "long -term residents in different places".

(2) The referral personnel will go out to the hospital and go out to the medical personnel. Due to the temporary medical personnel such as a business trip, visiting relatives, and tourism, they will be uniformly simplified and integrated into "temporary medical personnel".

2. Simplify the filing procedures for medical treatment in different places, no longer need to prove the material

(1) Cancellation of the filing procedures for hospitalization, general outpatient, and slow medical treatment of "temporary medical treatment members" in the province will cancel the filing procedures for medical treatment.

(2) Different registers will no longer provide proof materials. "Long -term residents in different places" no longer provide certification materials such as household registration, residence permit and other certificates, and implement a commitment filing system (personal commitment to living, living, and work for more than 6 months); Certificate of referral transfer or certificate of medical treatment abroad. The above personnel can be handled in the medical insurance service hall window and the grass -roots medical insurance workstation; it can also pass the "Ai Shandong • Rizhao Tong" APP, the National Medical Insurance Service Platform APP, "National Different Place Medical Recruitment", "Lu Medical Insurance", "Rizhao Smart Medical Insurance" WeChat Mini Program, "Rizhao Medical Security" WeChat public account or "Rizhao Medical Insurance" Alipay applet process.

3. Adjust the medical insurance policy for different places

(1) Reduce the proportion of temporary medical treatment first. "Temporary goal to the medical treatment" province's cross -city, inter -provincial and different places, medical expenses for hospitalization and outpatient clinics are first adjusted to 10%, and the remaining parts are implemented in accordance with the treatment policy of third -level medical institutions in the city.

(2) "Long -term residents in different places" will seek medical treatment in a long -term residential place after the filing of the record. The long -term effectiveness of the record is effective, and the proportion of medical insurance reimbursement as the medical insurance is the same as the place of medical treatment. Essence

(3) The general outpatient clinic coordinates the percentage of the province's cross -city and inter -provincial medical expenses for medical care for 10%. Different places do not be subject to the scope and level restrictions of the grass -roots medical institutions. They can enjoy the overall treatment of outpatient clinics and realize network settlement. The amount of reimbursement and local amount of reimbursement and the local amount is calculated, which does not exceed the outpatient clinic reimbursement amount.

(4) Limit the number of homes in designated medical institutions in different places. Different places are directly recorded to the area of ​​medical treatment, no longer filing to specific medical institutions, and insured persons can choose to seek medical treatment in the normal outpatient clinic and inpatient medical institutions of all network of medical sites and achieve direct settlement; cancel the insured clinic clinic; The number of furnishings in the designated medical institutions in the province of Slow Special Diseases, the number of fixed medical institutions for outpatient medical institutions of the Slow Special Disease Cross -Provincial Internet of Diseases, and implemented in accordance with national regulations.

Source: Rizhao Medical Security

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