When you are sick, your body is uncomfortable, and your wallet will inevitably "slim down."

It's even worse if people are still in other places.

Fortunately, there is medical insurance to reduce some burdens.

But many friends

I don't know much about medical treatment in different places.

What is the demand for medical treatment in different places?

Didn't you go to a different place for medical treatment?

So pay for it yourself?

Today, blueberries will talk to you.

In case you need it in an emergency.

Record medical treatment in different places

First, you need to know what kind of situation you belong to:

If you were here,

Guangdong

Medical treatment in the province:

Outpatient treatment in different places can be settled directly.

There is no need to handle off-site medical records and referral records.

If you were here,

Guangdong

Medical treatment outside the province:

You need to apply for a remote medical record first. How to apply and look down.

one

Types of medical record keepers in different places

1. Resettlement of retirees for the record.

Applicable personnel: Shenzhen insured persons who have reached the statutory retirement age and live outside the domestic market for a long time.

2. Long-term residence in different places for the record

Applicable personnel: Shenzhen registered insured persons who have not reached the statutory retirement age and have lived or worked outside the domestic market for a long time.

3, resident in different places for the record

Applicable personnel: insured persons of Shenzhen convenience through train enterprise, and long-term working units in cities at home and abroad.

4. Entrepreneurs with foreign employment and students who come to Shenzhen for medical treatment across provinces directly settle down for the record.

Applicable personnel: (1) Migrant employment entrepreneurs: migrant employment entrepreneurs who are insured in Shenzhen, are not registered in Shenzhen, and have been stationed in domestic and foreign provinces for a long time or have returned to their original household registration for some reason.

(2) Students studying in Shenzhen: non-Shenzhen registered students who participated in the insurance in Shenzhen returned to their registered residence outside the province during the winter and summer vacation or during their suspension from school due to illness, as well as during their study and internship at branches in different places.

5, temporary medical personnel in different places for the record

Applicable personnel: refers to the personnel who receive emergency medical treatment in medical institutions at home and abroad for emergency treatment and rescue.

note:

The above "off-site" does not include Hong Kong, Macao and Taiwan.

two

Records of referrals from different places

Applicable personnel:

Approved by a medical institution with referral qualification, the insured person of basic medical insurance who needs to go to a medical institution outside the insured place for further medical treatment.

note:

Those who have been hospitalized in different provinces for the record shall be deemed to have been registered in the inter-provincial outpatient service in the region, and there is no need to do so again.

three

Handling materials

(1) Registration Form for Medical Treatment in Different Places in Shenzhen or Registration Form for Medical Treatment in Different Places for Entrepreneurs with Foreign Employment in Shenzhen (provided at the window or by telephone or fax);

(2) Resident identity card; (3) the client's resident identity card;

(four) certification materials (non-essential materials; At least 2 medical records in different places or within half a year. Application period > 1 person within one year):

1. Resettlement of retirees in different places: residence booklet or residence certificate;

2. Long-term residents in different places: proof of residence;

3. Resident staff in different places: the dispatch certificate of the work unit in the insured place, the certificate of the work unit in different places or the work contract;

4. Migrant entrepreneurs: proof of permanent residence in different places or household registration book;

5. Students studying in Shenzhen: student ID card, household registration book or internship certificate;

6. Temporary medical personnel in different places: emergency diagnosis certificate.

four

Online processing flow

_ Mobile phone processing: (the review time is expected to be 2-3 working days)

1, everyone passed.

"National Remote Medical Record" WeChat applet, click the "Remote Medical Record Application" button in the middle of the home page, authorize and complete the real person authentication, and enter the remote medical record page.

2. According to your actual situation, select the insured place, medical place, insurance type and filing type, and then click the "Start filing" button.

3. Please read the filing instructions carefully, including the scope of filing personnel and settlement regulations. After selecting "I have read the filing notice carefully", click "I have read and started filing".

4. Fill in the filing information and contact information, and upload the filing materials according to the guidelines (choose one of resettlement retirement/long-term residence/permanent residence in different places/personal commitment materials). Please ensure that the submitted materials are true and valid, otherwise they will not be put on record. Click the "Submit for Record" button after confirmation.

5. After submitting the filing information, you can see the basic information of the filer. Click the "Record" button in the menu bar to query the status of medical records in different places.

_ Computer application: (1 settlement working day)

1. Search official website (/) "Shenzhen Medical Insurance Bureau" personal service online system, or pay attention to WeChat official account, Shenzhen local treasure, and reply to medical treatment in different places in the dialog box to get the entrance.

Log in to the personal online service system.

2. Select "Online Handling"-"Medical Insurance", and choose the corresponding filing business according to personal circumstances.

3. Fill in the filing information and submit it according to the system guidelines. Successful filing will be settled immediately by the system, and those who are not settled immediately will be assigned to the medical insurance agency for background review, and will be settled 1 working day.

4. Query of filing results,

Click the query service → medical information query → remote medical record information query on the system page.

_ Is there an expiration date for medical records in different places?

Answer: According to the insured's long-term residence or labor dispatch time in different places, the validity period of the application is 6 months, 12 months, 24 months and all the year round.

(Note: The filing period for studying in Shenzhen is only half a year, one year and two years; The filing period of temporary medical personnel in different places is valid for the current hospitalization. )

After processing the archive,

You can click here to view the report of medical treatment in different places.

Or at

Shenzhen local treasure

WeChat official account background chat dialog box reply

A strange/foreign land

Get detailed information

However, some small partners may, for various reasons.

Failing to apply for medical treatment in different places in time

Can I still reimburse my medical expenses?

The answer is yes, but the reimbursement rate will be reduced.

Did not apply for reimbursement for medical treatment in different places.

one

Reimbursement treatment regulations

_ Hospitalization:

If the insured does not apply for referral or filing,

Hospitalization in designated or non-designated medical institutions outside Shenzhen will be implemented in accordance with designated medical institutions in Shenzhen.

90% and 70% of hospitalization reimbursement standards are reimbursed.

_ Outpatient treatment:

If the insured does not apply for referral or filing,

Those who go to the outpatient department of a designated medical institution outside Shenzhen,

Expenses that fall within the scope of personal account payment can be paid in advance and deducted from the balance of personal account after payment.

two

Materials required for medical expenses application and reimbursement

(1) reimbursement of hospitalization expenses

1, resident identity card; 2. Hospital bills;

3. List of hospitalization expenses; 4. Diagnostic certificate;

5./kloc-certificate of origin of medical materials above RMB 0/000 (domestic/imported): medical materials above RMB 0/000 should be provided during hospitalization and stamped with the official seal of the hospital.

6. Confirmation of accidental injury in Shenzhen social medical insurance: an application form for injury reimbursement is required.

(2) reimbursement of outpatient expenses

1, resident identity card; 2. Hospital bills;

3, outpatient and emergency expenses list.

three

Reimbursement channels and operating procedures

Tips:

If the insured person goes to a designated medical institution outside the city for medical treatment, and the medical expenses that do not meet the provisions of the Measures of Shenzhen Municipality on Social Medical Insurance are within the scope of payment of basic medical insurance, local supplementary medical insurance and maternity medical insurance funds, relevant documents and materials can be presented.

Within 12 months from the date of expenditure or settlement,

Apply to the municipal social medical insurance institution for review and reimbursement. So remember to deal with it in time ~

_ reimbursement route:

1、

Online: Pre-review first, then submit the materials.

The insured can apply for pre-audit online. After the background of the system passes the pre-examination, according to the guidance of the pre-examination results, the reimbursement documents and materials will be submitted by mail or on-site submission, and the medical insurance department or window clerk will review the applicant's application conditions and application materials.

Guidelines for handling mobile phones:

On the official account of "Shenzhen Medical Insurance" WeChat, click "Pocket Medical Insurance"-"Personal Business Handling" to enter the application page. You can also reply to the Shenzhen local treasure background chat dialog box to get a different entrance.

After entering, click "Apply for Pre-examination of Medical Expense Reimbursement for Hospitalization/Outpatient Service Outside the City", read the reimbursement instructions and commitments, check "Agree" and click "Next".

Enter the information related to medical expenses, confirm the bank account number, and click "Next" to enter the upload material page.

According to the system prompt, upload the material picture. After uploading the materials, check the application information again and make sure it is correct.

Submit the pre-trial application for reimbursement, wait for SMS notification or check the pre-trial results on personal websites and other channels.

Submit reimbursement documents and materials by mail or on-site submission according to the SMS guidance of pre-trial results.

2、

Offline: Submit materials directly to the medical insurance service window.

The insured can also prepare the documents and materials required for reimbursement, accept medical insurance business offline at the comprehensive service window of Shenzhen Administrative Service Hall, submit an application for reimbursement and submit reimbursement materials.

_ Offline reimbursement guide:

In addition to the pre-audit of online reimbursement, the insured can also prepare the documents and materials needed for reimbursement, go offline to the comprehensive service window of the administrative service hall in Shenzhen to accept medical insurance business, submit the reimbursement application and submit the reimbursement materials.

& niobium