1. First, you need the referral certificate from the hospital at or above the county level. Take the medical insurance in a small town as an example. If you want to go to a different place for medical treatment, you must first go to a hospital at or above the county level. Generally, there will be county-level hospitals in the town, allowing doctors to issue referral certificates;
2. Stamp the social security window of the hospital. The social security window of the hospital will generally be located at the toll gate, and it will be handled by the referral certificate;
3. Go to the local social security bureau or social security office to register for out-patient treatment. Generally, there is a social security office in the town, because it is a branch office, so it may be in an inconspicuous place;
4. After going out for treatment, get it back to the county-level social security bureau for reimbursement. After completing the above three steps, you can go to a hospital in a big city. When you have cured the invoice, medical book, social security card and household registration book, you can wait until the superior social security bureau of the party concerned reimburses you.
Medical insurance reimbursement process:
After the insured person prepares the medical record, discharge certificate, hospitalization list and a copy of the corresponding ID card, he may apply to the relevant medical insurance reimbursement institution. After passing the relevant audit, you can reimburse the relevant medical insurance. And if you have any objection to the reimbursement amount, you can call the number on the receipt for relevant consultation.
The difference between medical insurance and social security;
Medical insurance can ensure that the insured person enjoys the right of basic medical insurance after paying a certain fee, and can also enjoy related medical reimbursement and hospitalization expenses reimbursement after retirement. Social security is social insurance for people who lose their ability to work or lose their jobs. In terms of social insurance, including medical insurance, endowment insurance, unemployment insurance, industrial injury insurance, etc. It is also one of social insurance. So there is still a big difference between medical insurance and social security.
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.