Nanchang Urban and Rural Resident Basic Medical Insurance Handling and Management Workflow (2) Household registration transfer across counties and districts within the administrative area of ??Nanchang City 1. Insured residents bring their household registration books, ID cards and copies, and social security cards to the original insured place

The township (town) and sub-district medical insurance agency handles the procedures for transferring out the medical insurance relationship; 2. Bring the household registration book, ID card and copy, and social security card to the township (town) or sub-district medical service in the newly moved county (district)

The insurance agency applies for transfer procedures; 3. After the transferred township (town) or street medical insurance agency reviews the information and the information is correct, it goes through the transfer procedures and changes the household registration information in the computer system.

(3) Termination of the medical insurance relationship 1. If insured residents move out of the administrative area of ??Nanchang City, go abroad or die, etc. and need to go through the medical insurance relationship termination procedures, they must present their ID cards, social security cards, migration household registration certificates, medical death certificates, and relevant government certification materials.

Go to the township (town) or sub-district medical insurance agency in the insured place to apply; 2. After the township (town) or sub-district medical insurance agency verifies that the information is correct, change the resident information in the computer system and prepare the social security card in accordance with regulations

cancellation procedures.

Medical service management 1. Application for outpatient special chronic diseases If an insured person applies for outpatient special chronic diseases and meets the relevant outpatient special chronic disease conditions after expert review, the county (district) medical insurance agency will open the social security card outpatient special chronic disease accounting function

, insured persons can bring their social security cards to selected designated medical institutions for examination and treatment, and the medical expenses incurred will be paid according to regulations.

Insured urban and rural residents can apply at designated medical institutions during working days.

The specific work process is as follows: (1) Application materials 1. Submit the diagnosis certificate issued by the second-level and above medical institutions, hospitalization records in the second-level and above medical institutions related to the declared disease, laboratory test orders, inspection reports, etc.; 2. Personal identity

Certificate, social security card; 3. Fill out the "Nanchang Urban and Rural Resident Outpatient Special Chronic Disease Identification Application Form".

(2) Application process 1. The insured person provides the required information and applies to the selected designated medical institution (Medical Insurance Office); 2. The designated medical institution (Medical Insurance Office) will review the accepted applications according to the disease before the 10th of each month.

Each classification shall be uniformly reported to the county (district) medical insurance agency where the insured person is insured; 3. The county (district) medical insurance agency will open on the 15th-20th of each month (postponed in case of breaks, holidays or special circumstances)

, determine the number of medical experts participating in the review based on the number of applications, and invite medical experts to review; 4. The county (district) medical insurance agency confirms the results of the expert review, and feeds back the review results and relevant materials to the original application channel

The designated medical institution (Medical Insurance Office) will notify the applicant of the result.

2. Reimbursement of Medical Expenses for College Students (1) Reimbursement of Outpatient Medical Expenses for College Students: General outpatient clinics for college students are managed by the municipal medical insurance agency entrusting each university to implement lump sum management.

1. Insured college students receive outpatient treatment at a medical institution set up within the university; if a college student holds a card to seek medical treatment, the medical expenses incurred for outpatient treatment will be settled immediately according to regulations by the medical institution at the set point from the outpatient package of the university's college students.

2. Insured college students are treated in outpatient clinics outside the administrative area of ??this city during their winter, summer and internship periods.

During the winter and summer vacations, the outpatient medical expenses incurred by college students at designated medical institutions outside the city's administrative area, the place of household registration or the place where parents live, as well as the outpatient medical expenses incurred at designated medical institutions at the internship location during the internship period, shall be paid by the individual, and the medical expense invoice and expense list shall be submitted.

The information will be submitted to the school, and the school will pay for it from the outpatient lump sum funds.

(2) Reimbursement of hospitalization medical expenses for college students 1. College students are hospitalized in insured places.

The insured person will go to a designated medical institution to handle hospitalization procedures with his or her ID card and social security card.

When discharged from the hospital, medical expenses will be settled immediately at designated medical institutions, and the individual payment shall be borne by the individual; 2. University students who are on leave of absence from school due to illness, internship, or hospitalized outside the administrative area of ??this city during the winter and summer vacations, and who are in their original place of residence or during the winter and summer vacations.

If the parents are hospitalized in the place where they are employed, and if they are hospitalized in a designated medical institution at the place of internship during the internship, the medical expenses incurred will be reimbursed according to the following process: (1) After the insured college student is hospitalized, he or his relatives shall report to the school within 5 working days; (

2) The hospitalization medical expenses incurred shall be paid by the individual first. After discharge, the patient shall submit the identity card, social security card, hospitalization expense invoice, expense summary list, hospitalization medical records and other information to the school, and the school shall go to the municipal medical insurance agency to handle the review and reimbursement procedures;

(3) After review by the handling agency, the medical expenses will be paid to the individual through the social security card.