Medical insurance settlement in other places cannot be changed to self-pay.

After medical expenses are reimbursed by medical insurance, they cannot be refunded and paid out of pocket. However, according to the needs of management services, service agreements can be signed with medical institutions and pharmaceutical business units to standardize medical service behaviors.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks.

A medical insurance fund is established through contributions from employers and individuals. After insured persons incur medical expenses for medical treatment, the medical insurance agency will provide them with certain financial compensation.

The reimbursement method for medical insurance in other places is as follows: 1. According to the policy provisions of urban residents’ medical insurance, insured persons seeking medical treatment in other places must first go to the medical insurance agency in the insured place to register and file; 2. Within 1 month after discharge,

The insured person can go to the medical insurance agency in the place of residence to apply for reimbursement of medical expenses with the ID card, household registration book, resident medical insurance card, discharge certificate, medical expense invoice and hospital expense detailed list, proof of residence in another place or temporary residence permit; 3

When hospitalized, medical personnel must report to the medical insurance center in the insured place for filing. If they do not apply for filing, the medical expenses incurred during hospitalization will not be reimbursed.

To sum up, the establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members, coupled with government funding, so that sick members of society can obtain necessary material help from the society and reduce the burden of medical expenses.

Prevent sick members of society from becoming impoverished due to illness.

Legal basis: Article 29 of the "Social Insurance Law of the People's Republic of China" The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit

.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.

Article 31 Social insurance agencies may sign service agreements with medical institutions and pharmaceutical business units to regulate medical service behavior based on the needs of management services.

Medical institutions should provide reasonable and necessary medical services to insured persons.