People who are Huaihua, you want a different place for medical treatment and reimbursement guidelines you want

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Medical treatment

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The scope of direct settlement record personnel in different places

The following personnel participating in the basic medical insurance of Huaihua City can apply for a direct settlement for medical treatment:

1. Receive personnel resettlement: Refers to the person who settled in a different place after retirement and the household registration is moved into the settlement place.

2. Long -term residents in different places: refers to those who have lived in different places for a long time and are in line with the regulations of the insurance place, including urban workers, urban and rural residents, flexible employment, "migrant workers" and "dual creators".

3. Personnel in the resident (study) personnel: refers to the person who uses people to work (study) in other places and meets the regulations of the insurance place.

4. Personnel referral (emergency) personnel: refers to the person who complies with the person in line with the exotic referral (emergency).

5. Refers to college students during the holidays or during internships during the residence or internship.

6. Foreign household registration: Refers to those who have participated in employee medical insurance or foreign household registration in this city in this city to participate in urban and rural residents' medical insurance in this city.

Application information for direct settlement filing for medical treatment

Insured persons should provide the following relevant information:

1. Receive personnel resettlement at different places:

Medical insurance electronic vouchers or valid identity documents or social security cards;

Materials for resettlement ("Homepage of the Household Registration Book" and my "resident registration card").

2. Long -term residents in different places:

Medical insurance electronic vouchers or valid identity documents or social security cards;

Long -term residence identification materials (residence certificate, temporary residence permit).

3. Personalized (learning) personnel in a different place

Medical insurance electronic vouchers or valid identity documents or social security cards;

Materials for the work of the resident work (certificate of the work unit of the insurance place, certificate of the work unit in a different place, and the selection of the work contract)

4. Visitors in different places

Medical insurance electronic vouchers or valid identity documents or social security cards;

Against the transfer of referrals and transfer certificates of the medical institution qualified for referral.

Emergency personnel in different places need to provide relevant diseases such as the door (urgent) diagnosis of medical institutions (emergency) diagnosis and admission certificates of medical institutions.

5. The holiday is studying in the internship at the place of residence or the internship.

Applications for the filing of the school, and the list is uniformly reported to the registration agency for review and registration.

6. Foreign household registration

Foreign household registrations to participate in basic medical insurance personnel in our city, and they need to return to the household registration area for medical treatment and provide household registration information.

The basic process of direct settlement of medical treatment at a different place

The basic process can be summarized as "first filing, selected points, and card holding medical treatment". Three steps are indispensable.

The first step of "filing first": Insured persons need to be recorded before medical treatment, and the filing procedures can be completed through online and offline channels.

Online: National Different Place Medical Records Mini Program, Hunan Medical Insurance WeChat Public Account, Hunan Medical Insurance APP, National Medical Insurance Service Platform APP;

Offline: The medical insurance window of the Huaihua City Government Service Center in Hunan Province and the medical insurance window of the government affairs centers in various counties and cities, and uploaded it to the national medical insurance settlement platform.

Step 2 "Selected Point": Insured persons should choose to seek medical treatment for a designated medical institution that has been settled in different places to go to the medical institution, and to handle the hospitalization fee directly.

The third step "Card holding medical treatment": The insured should hold their social security card or medical insurance electronic voucher for admission registration and discharge settlement.

Detailed process steps for medical treatment in different places ↓

1. WeChat pays attention to the public account of "Hunan Medical Insurance", click "Service Platform", enter the "Login Platform". After logging in, click the "Different Medical Record File" in the "Business Management" section to enter the filing page.

2. Enter the filing page, read related information carefully and warm the prompts, click to enter the "Next", fill in the information in accordance with the requirements, upload the relevant information voucher, and finally click "Submit" to complete the filing procedure.

3. Return to the page, you can click "Field Medical Query" on the "Quick Record" page, and you can see the record records of different places.

Except for direct settlement of medical treatment in different places

The following circumstances are not included in the medical expenses incurred in the agreement medical institution for medical institutions.

1. General door (emergency) diagnosis of medical expenses (except for medical expenses for outpatient diseases or rescue for outpatient diseases or rescue).

2. Inpatient medical expenses with accidental injury.

3. Related costs for fertility in different places.

4. Related costs of special medicines.

The medical expenses of the insured person who are not included in the direct settlement will be paid in full, and the insured persons are paid in full, bringing inpatient relevant information (including the original hospital receipt, the summary of the discharge/record and the total list of disease diagnosis, the total list of hospital medical expenses), my ID card) , Copy of bank cards, etc., return to the place of insurance to handle medical insurance payment and settlement in accordance with the policy.

Note: The application for special drug expenses is limited to the process of participating in the process. For specific policies, please check the "Special Pharmaceutical Application".

Source: Huaihua Medical Security

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