When seeking medical treatment in different places, whether the drug list, diagnosis and treatment items and service facilities for reimbursement can be reimbursed shall be subject to the local reimbursement scope of the city where the medical treatment is located.

2. How much to reimburse, the insured place has the final say.

Although what to report should be based on the standard of the place of medical treatment, how much to report should be based on the reimbursement ratio of the insured place. For example, the deductible line, reimbursement ratio and maximum reimbursement limit of reimbursement depend on the "local" standard for patients to participate in insurance.

This is to avoid excessive medical treatment in different places, and to carve up the urban basic medical insurance fund in the medical treatment place, which leads to unfairness.

Because medical treatment in different places mostly happens in cities with relatively developed medical resources, most of these cities are "overpaid" in medical insurance policies. It is a bit unfair to let medical staff in different places enjoy the same reimbursement rate in different places at the low level of medical insurance payment standard in their own city.

3. See a doctor in a different place. If you have any questions, find a "different place"

If you go to other places to see a doctor, and there are problems in medical behavior and expenses during the service, you can find an agency in other places. Foreign hospitals have the responsibility to provide foreign patients with the same services as local patients, including information recording, medical behavior monitoring, medical expenses audit and so on.

4. If the procedures for medical treatment in different places are complete, but it cannot be reimbursed, you need to apply to the regional social security agency for an error handling mechanism.

Legal basis:

People's Republic of China (PRC) social insurance law

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.