The reporter learned from the Provincial Health Planning Commission yesterday that the instant settlement of medical treatment in different places means that the medical expenses incurred by the insured persons of medical insurance for urban and rural residents in this province in the medical institutions with medical insurance agreements for urban and rural residents outside the insured place are directly settled at the medical place after going through the registration and filing procedures for medical treatment in different places, with the resident health card (or co-treatment card, medical insurance card) and referral form (or registration and filing form for medical treatment in different places). Those who participate in medical insurance for urban and rural residents are included in the instant settlement of medical treatment in different places. Including off-site referral, that is, the insured person is transferred to an off-site agreement hospital in the province for hospitalization due to the limitation of medical conditions and the need of disease diagnosis and treatment in the overall planning area; Off-site emergency, that is, the insured leaves the overall planning place, and is under emergency observation (≤72 hours) or hospitalized in an off-site hospital in the province due to an emergency; Resettlement in different places, that is, the insured person works in other places or lives with his parents and children in different places for a long time, and agrees to be hospitalized and treated for special chronic diseases in the hospital at the place of residence; College students are treated in different places, that is, students from colleges and technical secondary schools who participate in medical insurance for urban and rural residents are hospitalized in hospitals in different places due to illness, and special chronic diseases are treated in outpatient clinics during their suspension from school due to illness.

people who refer to other places must hold their own health cards and other insured persons who refer to other places for medical treatment, and they must hold their own health cards (or joint treatment cards and medical insurance cards) and ID cards to go to local medical institutions with referral qualifications to handle the "Referral Form for Urban and Rural Residents in Shaanxi Province's Inter-provincial Network for Medical Treatment". The insured persons seeking medical treatment in different places who are resettled in different places must hold their own health card and ID card, and go to the medical insurance agency for urban and rural residents in the insured place to fill out the Registration Form for Medical Insurance for Urban and Rural Residents in Shaanxi Province, and go through the relevant registration formalities. The medical expenses incurred by the insured for medical treatment in different places in the province due to emergency and first aid, etc., shall be settled immediately by the agreed medical institution on the basis of emergency, first aid and other relevant information.

The medical insurance hospitalization capping line for urban and rural residents is uniformly implemented by 13, yuan/person/year in the whole province, and the settlement scope of medical treatment in different places is medical expenses in different places. Timely expansion to outpatient medical expenses for special chronic diseases. The scope of real-time settlement of medical expenses in different places shall be temporarily implemented according to the medical insurance catalogue of urban and rural residents in the place of medical treatment, and shall be implemented according to the unified catalogue of the whole province after the catalogue is unified. The reimbursement policy of provincial medical institutions for medical treatment in different places in the province is: the deductible line for reimbursement of secondary and tertiary medical institutions is 2, yuan and 3, yuan respectively (7% of the deductible line for children aged -14 is implemented at the same level, and the deductible line for mental diseases is 2, yuan in tertiary comprehensive or specialized hospitals); The reimbursement rates are 65% and 55% respectively (the reimbursement rate of tuberculosis in tertiary hospitals is 7%). Other cities and counties in the province agreed that medical institutions should determine the reimbursement policy by the medical insurance management institutions of urban and rural residents in the overall planning areas. The top line of medical insurance hospitalization for urban and rural residents is uniformly implemented by 13, yuan/person/year in the whole province. The data of trauma cases shall be brought back by the patients to the medical insurance agency for urban and rural residents in a unified way for investigation, publicity and approval according to the prescribed procedures.

the individual payment part is directly settled by the insured with the agreed medical institution. The medical expenses incurred by medical personnel from different places in the province in the agreed medical institution in the province belong to the individual payment part, and the insured directly settles with the agreed medical institution. Is part of the urban and rural residents' medical insurance fund payment, by the urban and rural residents' medical insurance agencies in the overall planning area on a monthly basis and medical institutions for medical treatment agreement. For patients who really need to be referred to other places for medical treatment, they should be transferred out of the hospital as a whole to register the referral application, and inform the patients to bring the referral certificate, ID card and health card (or joint treatment certificate and medical insurance card) when they go out for medical treatment before they can enjoy the instant report service for medical treatment in other places in the province. When the patient is discharged from the hospital, the following materials shall be completed: the electronic scanned copy or photocopy of the patient's identity certificate (ID card or household registration book) and the resident health card (or the participation guarantee and medical guarantee of the insured patient); Copy of the first page of medical record; Discharge settlement invoice (receipt copy or invoice copy); Medical insurance for urban and rural residents in Shaanxi Province: reimbursement form for hospitalization in different places in Shaanxi Province.

medical treatment in different provinces does not include overseas medical treatment. Recently, our province issued the "Instant Settlement Scheme for Medical Insurance for Urban and Rural Residents in Shaanxi Province" to facilitate the insured to settle the medical expenses in different provinces and places immediately. Among them, cross-provincial medical treatment in different places does not include overseas medical treatment.

overseas medical treatment is not included in inter-provincial medical treatment. Inter-provincial medical treatment refers to the medical behavior of the insured in other provinces, excluding overseas medical treatment. Instant settlement of medical treatment in different provinces refers to the behavior that medical expenses incurred by the insured persons of medical insurance for urban and rural residents in this province (or other provinces) directly settle immediately at the medical treatment place with the resident health card (or joint medical certificate and medical insurance card) after going through the registration procedures or referral forms for medical treatment in different provinces. This scheme is applicable to the instant settlement of inter-provincial medical treatment in different places between this province and the agreed provinces (autonomous regions and municipalities directly under the Central Government). The following personnel who participate in medical insurance for urban and rural residents are included in the instant settlement of medical treatment in different provinces. Including inter-provincial referral, that is, the insured person is transferred to a medical institution in another province for hospitalization due to the limitation of medical conditions in the province and the need of disease diagnosis and treatment. In case of cross-provincial emergency, the insured leaves the province, and the emergency observation or hospitalization of medical institutions is agreed in other provinces due to emergency. Inter-provincial resettlement, that is, people who participate in medical insurance for urban and rural residents work in other provinces or live in other provinces with their parents and children for a long time, and agree on hospitalization and outpatient treatment of special chronic diseases in medical institutions at their places of residence. College students are treated in different places, that is, college students who participate in medical insurance for urban and rural residents are hospitalized in medical institutions in different provinces due to illness, and special chronic diseases are treated in outpatient clinics in other provinces during their suspension from school due to illness.

Outpatient expenses for special chronic diseases will also be included in the inter-provincial medical settlement in due course, which is the hospitalization expenses of the insured in medical institutions agreed in other provinces. Timely inclusion of outpatient medical expenses for special chronic diseases. Inter-provincial and off-site medical insurance personnel who have been referred to other provinces for medical treatment must hold their own resident health card (or joint treatment card and medical insurance card) and ID card, and go to a local medical institution with referral qualification to handle the "Inter-provincial and off-site medical network referral form for urban and rural residents in Shaanxi Province". Inter-provincial medical insurance personnel who are placed in different places across provinces must hold their health cards and identity cards, and go to the medical insurance agency for urban and rural residents in the insured place to fill out the Registration Form for Medical Insurance for Urban and Rural Residents in Shaanxi Province, and go through the relevant registration procedures. The medical expenses incurred by the insured for inter-provincial medical treatment and hospitalization in other provinces due to emergency and first aid, etc., shall be settled immediately by the medical institution agreed at the place of medical treatment with the relevant information of emergency and first aid from the Internet. Inter-provincial medical personnel in different places shall, according to the provisions of the agreement signed with other provinces, make medical settlement with their valid ID card and resident health card (or joint medical certificate and medical insurance card).

instant settlement of inter-provincial medical treatment in different places implements the management of medical treatment places, uses the catalogue of medical treatment places for instant settlement of inter-provincial medical treatment in different places, implements the management of medical treatment places, and implements the reimbursement scheme for insured places. The reimbursement standards for cross-provincial medical treatment in different places in this province are: the deductible lines of first-,second-and third-level agreed medical institutions are: 5 yuan, 1,5 yuan and 5, yuan respectively; The reimbursement rates are 8%, 6% and 4% respectively. According to the case of disease payment, the implementation of disease quota payment standard. The medical insurance agency for urban and rural residents in the unified planning of trauma patients shall be examined and approved according to the prescribed procedures. The top line of basic medical insurance is 13, yuan/person/year. The medical expenses incurred by the insured in the medical institutions agreed by other provinces in this province belong to the part paid by individuals, and are directly settled by the insured with the medical institutions agreed by other provinces. The part paid by the medical insurance fund for urban and rural residents shall be settled by the provincial medical insurance management and settlement center and its provincial medical insurance agency on a monthly basis. When the patient is discharged from the hospital, the following information shall be completed by the medical institution with inter-provincial medical agreement: the electronic scanning or copy of the patient's identity certificate (ID card or household registration book) and the resident health card (or the participation guarantee and medical guarantee of the insured patient); Discharge settlement invoice (receipt); The basic medical insurance for urban and rural residents in XX Hospital is a cross-provincial medical report for hospitalization expenses.