Zhejiang has included Crohn's disease drugs in medical insurance, which has reduced the financial burden on patients. Jiangsu Province can reimburse them. The settlement procedure for relocated workers: For relocated workers, their unit will designate 1-2 designated medical centers in their place of residence.
Institutions, and report to the medical insurance agency for record; the medical expenses incurred by out-of-town staff who are ill and go to designated medical institutions in their place of residence will be paid in advance by the person or the unit where they work. After the treatment is completed, the unit will pay the insured person's medical expenses.
Certificates and medical records, valid expense bills, double prescriptions, hospitalization expense lists, etc. must be settled at the social medical insurance agency on the specified date.
Referral and transfer settlement: If the insured person is transferred to other medical institutions for diagnosis and treatment due to limited conditions in designated medical institutions or due to specialized diseases, he or she must fill in the transfer approval form.
The treating physician shall put forward the reasons for the transfer, and the department director shall put forward the opinion on the transfer, which shall be reviewed by the Medical Insurance Office of the medical institution, signed by the director in charge, and reported to the Municipal Medical Insurance Center for approval before the transfer can be made; in principle, referrals shall be made within the city first and then outside the city.
, first within the province and then outside the province.
Referrals within the city are stipulated to be conducted between designated medical institutions.
Referrals outside the city must be made by designated medical institutions above the third level in this city; the medical expenses incurred after the insured person is transferred to another hospital shall be paid in cash by the individual or unit in advance, and after the medical treatment is completed, the insured person or his agent shall hold
Referral and hospital transfer approval forms, medical record certificates, prescriptions and valid documents are submitted to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of payment by the unified fund.