To alleviate the number of insured persons in different places
He broke his leg when he was sick
Full advance payment of the burden of medical expenses
The District Medical Security Bureau actively implemented it
Direct settlement policy for off-site medical treatment
Truly realize off-site medical treatment
"Zero errands, no meeting"
Continue to strengthen the insured masses
Sense of gain, sense of well-being
Mao Yanru's mother is a retired worker in Inner Mongolia
The elderly have limited mobility because of their age
I entrusted my daughter to run the settlement procedures
Recently
The reporter followed Mao Yanru to handle it together
I will experience going to a different place to seek medical treatment
Convenience of settlement in our area
Patient's family member Mao Yanru:
Originally hospitalized in a different place, back to Luquan can not report, have to return to the field reimbursement, but also have to find this department that department, a variety of signatures, very inconvenient, now the off-site medical insurance policy landed, Luquan hospital implementation is very fast, we the elderly in the field hospitalization, in our here can be reimbursed, can handle the procedures, very convenient.
The reporter learned from the District Medical Security Bureau
With the continuous improvement of the direct settlement policy for off-site medical treatment
Medical personnel in different places can be directly settled through online filing
The online filing process only needs to pay attention to the WeChat public account of the Hebei Provincial Medical Security Bureau
Just follow the relevant process
Insured patients only pay for their own medical expenses
The cost of medical insurance payment is settled directly between the medical insurance department and the hospital
At present, there are 30 hospitals in Beijing and Tianjin
Listed in shijiazhuang medical security designated medical institutions
It is implemented in accordance with the policy of hospitalization treatment of provincial tertiary medical institutions
Zhao Hongxia, deputy director of the District Medical Security Bureau:
The advantages of direct settlement of off-site medical treatment are worry-free, time-saving, labor-saving and money-saving. The beneficiaries are long-term residents in different places and temporary medical personnel. The direct settlement of medical expenses for inpatient treatment and general outpatient medical expenses in different places shall be carried out in the "directory of medical treatment, treatment of insured places, and management of medical treatment places". At present, there are three medical institutions in Luquan District that have opened cross-provincial medical treatment and general outpatient direct settlement, namely Luquan District People's Hospital, Luquan District Traditional Chinese Medicine Hospital, and Luquan District Maternal and Child Health Hospital.
Interpretation of the direct settlement policy for medical treatment in Luquan District
1. Scope of personnel
(1) Persons living in other places for a long time
Including retirees in different places, long-term residents in different places, permanent staff in different places, migrant workers and farmers, foreign employment entrepreneurs and other personnel who have worked, lived and lived outside the insured place for half a year or more for a long time.
(2) Persons temporarily going out for medical treatment
It mainly refers to people who are referred to hospitals in different places or those who need emergency medical treatment due to work, travel, etc.
2. Policy treatment
The direct settlement of medical expenses for inpatient hospitalization in different places shall implement the policy treatment of "directory of medical treatment, treatment of insured place, and management of medical treatment".
3. Filing process
1. Pay attention to the WeChat public account of "Hebei Provincial Medical Security Bureau";
2. Click "Off-site Medical Filing Platform" in "Public Services";
3. Click "Shijiazhuang" to enter the Shijiazhuang city off-site medical recordal platform;
4. Carefully read the "Notice on Filing Matters" and click "I have read";
5. After entering the mobile phone number and password (new users need to register with the mobile phone number first) to log in;
6. Click "Add New Recorder", enter the name, ID card number, social security card number and password and other information to confirm the new addition;
7. According to the actual situation, select "long-term residence in a different place", "temporary medical treatment", "transfer back to the local area";
8. Fill in and improve the information and apply for filing;
9. After filing, you can click "ICP Filing Result Inquiry" to check the ICP Filing result.
Medical personnel in different places can also go to the medical insurance agency of the insured place to handle it, encourage online filing, and strive to achieve 100% of the online medical record filing rate in different places, truly realize the online filing of off-site medical treatment "zero errands, no meeting", and continuously enhance the sense of gain and happiness of the insured people.
To handle the application through the website, you need to log on to the website of Shijiazhuang Municipal Medical Security Bureau (http://ylbzj.sjz.gov.cn), select "online service - office service - off-site medical treatment" to log in by yourself, the specific process is the same as above.
4. Reimbursement ratio
V. 30 hospitals in Beijing and Tianjin are included in the designated points of medical insurance in Shijiazhuang
The 30 hospitals in Beijing and Tianjin are listed in the designated medical institutions of medical security in our city, and are implemented in accordance with the policy of hospitalization treatment of provincial tertiary medical institutions.
Beijing was included in the list of designated hospitals for medical insurance in our province (a total of 15)
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
Chinese People's Liberation Army General Hospital (301 Hospital)
Peking University First Hospital
Peking University People's Hospital
Peking University Third Hospital
China-Japan Friendship Hospital
Chinese Academy of Medical Sciences, Fu Institute of Foreign Medicine
Beijing Anzhen Hospital affiliated to Capital Medical University
Beijing Jishuitan Hospital
Cancer Hospital, Chinese Academy of Medical Sciences
Beijing Cancer Hospital
Beijing Tongren Hospital affiliated to Capital Medical University
Beijing Children's Hospital affiliated to Capital Medical University
Chinese the Seventh Medical Center of the General Hospital of the People's Liberation Army
Chinese People's Liberation Army Air Force Special Medical Center
Tianjin was included in the list of designated hospitals for medical insurance in our province (a total of 15)
General Hospital of Tianjin Medical University
Tianjin Municipal People's Hospital
Tianjin First Central Hospital
Tianjin Third Central Hospital
The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine
Tianjin TEDA International Cardiovascular Disease Hospital
Tianjin Cancer Hospital
Chinese Academy of Medical Sciences Hematology Clinic
Tianjin Huanhu Hospital
Tianjin Chest Hospital
Tianjin Children's Hospital
Tianjin Central Obstetrics and Gynecology Hospital
Tianjin Eye Hospital
Stomatological Hospital of Tianjin Medical University
Zhu Xianyi Memorial Hospital, Tianjin Medical University (Metabolic Disease Hospital, Tianjin Medical University)
6. Direct settlement of general outpatient fees for medical treatment in different places
Insured persons who have applied for the direct settlement and filing of medical insurance inter-provincial medical inpatient expenses in different places shall simultaneously open the direct settlement service for ordinary outpatient expenses without additional filing. In principle, the scope of payment and relevant provisions stipulated by the place of medical treatment (the scope of payment for basic medical insurance drugs, medical service items and medical consumables, etc.) shall be implemented in principle, and the reimbursement policies such as the minimum payment standard, payment ratio and maximum payment limit of the basic medical insurance fund shall be implemented in the regulations of the place of participation.
The National Medical Insurance Bureau launched the National Medical Insurance Service Platform App for Off-site Medical Treatment, and insured persons can inquire online through the National Medical Insurance Service Platform App for the coordinated areas and designated medical institutions that have opened ordinary outpatient pilots.
Shijiazhuang Luquan District Medical Security Bureau
July 8, 2021