50% reimbursement for medical treatment in different places in Jiangxi Province According to the survey, the proportion of reimbursement for medical insurance in different places in Jiangxi Province is the highest, with 50% for residents and 80% for employees. The reimbursement is for drugs in the medical insurance catalogue. The medical insurance in Jiangxi province is networked, so the medical insurance catalogue is the same, so the reimbursement ratio is actually the same whether you are in a different place or local. Class A drugs 100% will be reimbursed, while class B drugs will be reimbursed in proportion to the corresponding inspection fees, some at their own expense and some in proportion, so the final reimbursement will be subject to the hospital settlement.

Off-site clinics can be reimbursed. Living in a different place for a long time meets the requirements of the insured place. Such people need to apply for resettlement and filing in the insured place, be hospitalized in a hospital that is included in the settlement system for medical treatment in different places, and directly settle medical expenses with their new social security card. According to the relevant laws and regulations, the part of the medical expenses of the insured who should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The following procedural materials are required:

1, recommendation certificate. If you want to use a medical insurance card for reimbursement when you go to see a doctor in a foreign country, you must first open a referral certificate in a local hospital. This certificate needs to be in a slightly larger local hospital, at least above the county level.

2. The seal of the hospital. After the referral certificate is issued in a hospital at or above the county level, it needs to be stamped. This chapter is not only the chapter of the hospital, but also the chapter of the hospital social security window where the referral certificate is issued.

3. Social Security Bureau registration. After opening the referral certificate and the seal of the hospital, I went to the local instrument bureau to register with relevant information. This registration is mainly filed in the Social Security Bureau, which is convenient for medical insurance reimbursement in different places in the future.

4. Hospital invoice. The reimbursement for medical treatment in different places is mainly hospitalization. Ask the hospital to issue an invoice after seeing a doctor, and be sure to keep the invoice. This is the basis for reimbursement.

5. Reimbursement by Social Security Bureau. When you come back from illness, you should go to the local social security bureau for reimbursement, and bring relevant materials, including invoices, ID cards, household registration books, social security cards, etc.

6. Outpatient reimbursement. Generally, it is more troublesome to reimburse hospitalization expenses in different places, but if it is outpatient expenses in different places, you don't have to bother. Just bring the invoice back and submit it to the Social Security Bureau for reimbursement.

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.