good news!Zibo has opened a cross -provincial clinic slow special disease network settlement!

In order to further meet the needs of insured persons in different places, and effectively solve the problem of "urgency and sorrow" of the people in different places for medical treatment. Dialysis, organ transplantation of anti -rejection therapy (including kidney transplantation resistance treatment, bone marrow transplantation anti -rejection therapy, heart transplantation anti -rejection therapy, liver transplantation anti -reject therapy, lung transplantation anti -excretion treatment, liver and kidney transplantation, liver and kidney transplantation Anti -reject therapy) 5 kinds of outpatient diseases, and fully covered the administrative district (county).

As an insured place, the city's insured persons with the above five types of outpatient diseases are qualified to be qualified for chronic disease diseases. The targeted medical institutions of the diseased network of disease inter -provincial networking have medical treatment and settled directly. There is no need to pay for the reimbursement after paying cash.

As a place of medical treatment, the city has opened 12 clinics for slow special diseases across provincial networking fixed -point medical institutions (the specific list is attached). Insured persons who have the above five types of outpatient diseases in the above 5 outpatients, after the procedures for medical institutions for medical institutions can be performed in the 12th medical institutions in accordance with the requirements of the insured place.

Outpatient Slow Special Disease Cross -Provincial Network Settlement Raiders are here!

one

What are the requirements for participants?

1. Eligible for the treatment of pilot disease treatment at the place of participation (reminder: The insured persons in our city do not need to record separately)

The employees and urban and rural residents' insured persons have completed the qualifications of the pilot disease. If they need to seek medical treatment across provinces, they will automatically record the outpatient medical treatment directly during the medical treatment formalities in different places.

2. Coupled with the procedures for medical treatment for cross -provinces and different places in accordance with regulations

Insured personnel in our city can record online with the "Zibo Medical Insurance" WeChat Mini Program, the National Medical Insurance Service Platform APP, etc., or the record of the medical insurance service phone (0533-3120000) in our city, and it can also be allowed to serve in the city in our city. The service hall and grass -roots medical insurance service stations are handled on site for the record.

If the insured persons from other provinces come to our city for medical treatment, the qualifications for the corresponding outpatient treatment of the corresponding outpatient clinic will be completed in accordance with the regulations of the insurance place.

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How to achieve direct settlement?

1. Query the opening of direct settlement and opening up of the medical and local clinic for medical treatment and the open -province and the fixed -point medical institutions (query channels: National Medical Insurance Service Platform APP)

specific process:

1. Query the opening of the coordinated area

Click "Filter File-Coordinated Area Opening Situation", select the city of medical treatment, and check the opening of slow special diseases in the medical area.

2. Inquiry and filing for medical ground clinics Slowly special diseases cross -provincial direct settlement has been opened for designated medical institutions

Click "Different Land File-Fixed-point Pharmaceutical Institutions in Different Places", select the medical area, open the category (outpatient slow special disease), and check the search results.

3. Card holding (code) outpatient clinic medical settlement settlement

Eligible insured personnel, the social security card (or medical insurance electronic vouchers) can go to the registered place to regulate the targeted medical institutions of the outpatient clinic for medical treatment and settle directly.

Precautions

1. When the insured person is cosmetic for medical treatment, please actively inform the reimbursement of the reimbursement of a designated medical institution in different places. This outpatient cost is settled in accordance with the general outpatient treatment of different places or slow special disease treatment for outpatient clinics in different places, so as not to affect normal treatment enjoyment.

2. If the outpatient clinic and the general outpatient treatment settlement is wrong, in order to ensure the normal treatment of the insured person, the cost of the network settlement can be revoked and the reciprocity of the treatment category can be selected.

3. If ordinary outpatients and outpatient slow special disease costs occur at the same time during medical treatment, please prescribe prescriptions and invoices according to the category of medical categories (ordinary outpatient and outpatients). Slowly settled in different places as outpatient clinics.

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