The reporter learned from the Jinan Social Insurance Center that since April 1 this year, our province has started the direct settlement of work-related injury insurance for medical treatment in other places, and our city, as the first batch of pilot cities, has taken the lead in the province to realize the direct settlement of a number of work-related injuries for employees in the province.
"You can settle directly with your social security card, and you don't have to advance money to run errands back and forth for reimbursement, which is so convenient!" Mr. Zhang said happily. Mr. Zhang, who works in an enterprise in Dongying, needs long-term treatment due to a work-related injury, and lives in Jinan after retirement. Now after the city implements the direct settlement policy of work-related injury insurance for medical treatment in other places, as long as the filing procedures are completed, the cost settlement can be completed directly at the settlement window after each diagnosis and treatment, and there is no need to go back to Dongying to reimburse medical expenses, which is convenient and can reduce the economic burden. Mr. Zhang, from Dongying, also became the first work-related injury employee in Shandong to enjoy direct settlement for medical treatment in other places.
In order to solve the problems of "advance" and "errand" for the settlement of medical treatment in different places for injured workers, our city has simultaneously launched the pilot work of direct settlement of medical treatment in different places within the province and across provinces. Employees with work-related injuries should first go through the filing procedures in the place of insurance before going to other places for medical treatment, and employees can go through various online and offline channels for direct settlement and filing procedures for medical treatment in other places.
The reporter learned that the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, as the first batch of pilot hospitals for direct settlement of work-related injury insurance in Jinan City, is not only a medical agreement institution, but also a rehabilitation agreement institution. Xu Yunsheng, Secretary of the Party Committee and President of the Hospital, said that the hospital has always conscientiously fulfilled the service agreement, done a solid job in the settlement of work-related injury insurance, actively responded to various convenient measures of the human resources and social security department, and will continue to optimize the medical treatment process in the next step, and continue to provide high-quality medical services for local and foreign injured employees.
According to the person in charge of the relevant department of Jinan Social Insurance Center, the direct settlement of work-related injury insurance for medical treatment in other places is of great significance to improve the efficiency of work-related injury insurance, facilitate employees to seek medical treatment in other places, and reduce the economic burden of employees. In the next step, we will continue to strengthen cooperation with the agreement institutions, continue to optimize the system functions and medical treatment process, and continuously improve the service experience and satisfaction of employees injured at work.
Extended reading:
How can injured employees complete the direct settlement filing of remote medical treatment online?
1. Filing for medical treatment in other places in the province:
Taking the website of Jinan Social Insurance Center as an example, employees with work-related injuries can enter the work-related injury labor assessment area, click on the "unit self-service area or individual self-service area", and file as needed.
2. Cross-provincial and non-local medical treatment filing:
Employees with work-related injuries can directly settle through the national social insurance public service platform - work-related injury insurance - cross-provincial and non-local medical treatment, and can also inquire and record through the WeChat "electronic social security card" applet - human resources and social security - social security - work-related injury insurance, and can also log in to the national human resources and social security government service platform, handheld 12333 APP, Shandong social insurance public service platform and other service portals for filing.
What is the policy for employees injured at work to enjoy treatment in other places?
1. For the work-related injury medical expenses and work-related injury rehabilitation expenses directly settled for medical treatment in other places in the province, the relevant provisions of the work-related injury insurance diagnosis and treatment project catalog, the work-related injury insurance drug catalog, and the work-related injury insurance hospitalization service standards shall be implemented;
2. For inpatient work-related injury medical expenses and inpatient work-related injury rehabilitation expenses directly settled for cross-provincial and non-local medical treatment, the relevant provisions of the work-related injury insurance diagnosis and treatment project catalog, work-related injury insurance drug catalog, work-related injury insurance hospitalization service standards, work-related injury rehabilitation service items and other relevant provisions shall be implemented;