The latest policy for reimbursement of medical insurance in different places in 217

I. Conditions for reimbursement of medical insurance in different places

1. The insured who has gone through the registration and filing procedures for medical treatment in other places, such as resettlement, visiting relatives, working and studying abroad, paid cash for medical expenses in designated medical institutions in different places.

2. Cash advances for medical expenses incurred by provincial-level insured persons who have agreed to be transferred to designated medical institutions for medical treatment in Beijing and Shanghai after filing.

2. The reimbursement rate of medical insurance in different places (up to 9%)

1. The reimbursement rate of outpatient service

There is no deductible line in general outpatient service, and all insured residents enjoy the treatment of general outpatient service. In a medical insurance year, there is no deductible line for general outpatient service, and the medical expenses within the scope of outpatient co-ordination fund payment are reimbursed according to the proportion of 6%, and the annual maximum personal payment limit of co-ordination fund is 4 yuan.

2. The proportion of hospitalization reimbursement

. The longer the continuous insurance period, the greater the reimbursement ratio. For every five years of continuous payment by insured residents, the hospitalization reimbursement ratio of the medical insurance fund will increase by 5 percentage points, with a total of no more than 1 percentage points. If you have been insured for 1 consecutive years since 27, the hospitalization reimbursement rates in tertiary, secondary and primary hospitals will reach 7%, 8% and 9% respectively.

3. Proportion of second reimbursement

There may be "second reimbursement" after the "second reimbursement". Among the medical expenses incurred by insured residents in a single hospitalization, the part is within the scope of payment by the basic medical insurance co-ordination fund for urban residents. After the basic medical insurance co-ordination fund pays in proportion, the part whose personal burden exceeds 8, yuan will be "second reimbursement" by the serious illness insurance fund.

Third, the process of reimbursement for medical insurance in different places

1. Receive or download the "Declaration Form for People Working and Living in Different Places in Municipal Basic Medical Insurance" (hereinafter referred to as the "Declaration Form") on the social security website;

2. the declaration form filled in according to the regulations and confirmed by the foreign social insurance (medical insurance) agency;

3. take the completed application form back to the social insurance agency in charge of division of labor for review and confirmation. If you need to apply for a medical card in different places in the province, you should register with the Audit Department of the Municipal Social Security Center on the basis of the "Declaration Form" after examination and confirmation, and then go to the Social Security Card Management Department to handle the card-making procedures of the remote networking card in the province;

4. The personal social security card of the insured can no longer be used after filing; If the insured person returns to seek medical treatment, he/she should go to the municipal social security institution to cancel the medical registration, and his/her personal social security card can be used in the designated medical institution from the next day;

5. The principle of reporting changes and not reporting changes shall be implemented.

IV. Materials required for reimbursement of medical insurance in different places

1. Copy of application form for medical treatment in different places

2. Formal invoice of pharmacy (supervised by the Ministry of Finance of the State Administration of Taxation and listing the details of purchased drugs on the invoice) or outpatient receipt of designated hospital

3. Patient's ID card and agent's ID card

4. My passbook bank card account number (except for rural credit cooperatives) (name of the opening bank is required for foreign accounts)