if the insured fails to go through the referral procedures in time according to the relevant regulations, and the hospitalization medical expenses incurred by the insured in medical institutions outside the city that are not designated by our city meet the payment scope of the medical insurance fund, they can apply for reimbursement of medical expenses according to the regulations. However, the reimbursement ratio is reduced by 4% according to the regulations of Shenzhen Social Medical Insurance. That is to say, only 5% can be reimbursed. However, you can go to a hospital in Shenzhen that has the qualification to open a referral certificate. If approved, you can reimburse 9% like Shenzhen, but 1. If the disease can be diagnosed and treated in this city, you must not ask for referral from outside the city. 2. You must consult with a tertiary hospital or a municipal specialized hospital in this city for any difficult diseases that cannot be diagnosed. 3. Critical patients who need no equipment or technology for diagnosis and treatment in tertiary hospitals or municipal hospitals in this city. After the referral, they have to go to the Social Security Bureau for the record before they can go to the hospital that agrees to the referral for hospitalization! Reimbursement needs: 1. <; Referral certificate > Or <; Application form for external referral review > Accept the original. 2. The social security card of the insured <; Check the original and accept the copy > 3. Certificate of disease diagnosis < Receive the original > .4. Original receipt of hospital charges < Receive the original and copy > 5. Detailed list of hospital hospitalization expenses <; Receive the original > .6. Copy of hospitalization medical records <; Including admission records, medical orders, operation records, discharge records and related inspection reports >; It is necessary to make a copy in the medical record room of the inpatient hospital and affix the official seal of the hospital.
Respondent: AI Xiaomei XM-Level III 21-5-2 1:56
It seems that hospitalization is not possible. There seems to be no medical insurance connection between Shenzhen and Huizhou. I suggest you ask the Social Security Bureau clearly, because even if you can claim compensation in different places, you must first report to the Social Security Bureau.
If reimbursement is possible, you should pay for it yourself first, and then take the original documents (with the hospital seal) back to the medical insurance window of Shenzhen Social Security Bureau for reimbursement. Ask the social security bureau about the problem. If you call, it's 96888.
seeing your problem, I think there is no emergency when you go back to Huizhou for surgery, and the so-called emergency means that your life is in danger and you need to be rescued urgently. In fact, you have to distinguish whether you intend to go back to Huizhou for surgery or whether you are worried that you will have an accident when you travel to Huizhou. This is a completely different concept. The same suggestion is to ask the Social Security Bureau for clarification. In the second case, I strongly recommend that you buy accident insurance, which can give you more protection in case of accident than social security.