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1) "Long-term residents in other places" generally refer to those who live,
live and
work in other places for more than 6 months personnel.
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2) "Persons who temporarily go out for medical treatment" refer to those who are referred to other hospitals,
people who go out for medical treatment on their own,
due to business trip,
Visiting relatives,
Tourism and other temporary outings for medical treatment.
2. Registration process for medical treatment in other places
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1) People who live in other places for a long time: medical treatment within the province and outside the province.
Registration is required (inpatient,
outpatient chronic disease)
, which can
be passed through the national medical insurance service platform
APP,
National Medical Insurance Service Platform WeChat Mini Program,
Shandong Medical Insurance Mini Program and other various management and online management channels
At the time of submission Check the "Personal Commitment Letter for Yantai Basic Medical Insurance Off-site Medical Treatment Registration" and sign the commitment.
If self-service processing is not possible due to conditions,
the insured person can bring the original ID card or social security card to the medical insurance agency in the insured place.
To handle (those entrusting an agent should also bring the valid ID of the agent),
Sign on the "Personal Commitment Letter for Long-term Off-site Medical Treatment Registration of Yantai Basic Medical Insurance",
Medical Insurance Manager Institutional retention.
Phone registration for long-term residence in another place is not supported.
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2) People who temporarily go out for medical treatment: Starting from January 1, 2022,
"Temporarily going out for medical treatment" across cities within the province will be hospitalized,
Registration procedures for general outpatient services and outpatient chronic disease treatment will be cancelled.
Expenses incurred for medical treatment at national off-site network platform medical institutions will be settled directly online.
Inter-provincial "temporarily go out for medical treatment" can use the National Medical Insurance Service Platform APP,
National Medical Insurance Service Platform WeChat Mini Program,
Shandong Medical Insurance Mini Program, etc. It can be handled through various office and online channels.
You can also call the medical insurance agency in the insured place or go to the medical insurance agency in the insured place to handle it on site.
3. Process for changing the registration for medical treatment in another place
Processing
After the registration of "persons living in other places for a long time",
within the validity period of the registration ( If the registration is less than 6 months) and it is really necessary to return to the insured place for medical treatment,
it will be handled according to the following principles: by submitting the household registration certificate of the place where the medical treatment was registered,
residence permit or work certificate for the unit, etc. Materials,
Those who apply to change the long-term medical treatment record in other places back to the insured place,
enjoy the same medical insurance treatment as the insured place;
The above-mentioned relevant information is not provided Certification materials,
If the record is simply made by personal commitment,
the medical insurance treatment policy for "people who temporarily go out for medical treatment" will be implemented.
If a "person who has long-term residence in another place" has been registered for more than 6 months and needs to change the place of long-term medical treatment in another place,
can apply to terminate the original registration for long-term medical treatment in another place.
According to Actual medical needs require re-registration for medical treatment in another place.
How to terminate the registration for "long-term residents living in other places": If the registration period exceeds 6 months,
You can terminate the registration on your own through public service channels;
If the filing time is less than 6 months,
it will be reviewed and processed by the medical insurance agency in the insured place.
4. Guarantee of benefits for medical treatment in other places
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1) Benefits policy for "people who live in long-term places outside of the country".
After completing the registration process, seek medical treatment in the place of long-term residence.
One registration is valid for a long time.
Enjoy the same medical insurance reimbursement ratio as that of medical treatment in the insured place;
If you seek medical treatment outside your registered long-term residence,
the temporary out-of-town medical treatment policy will apply.
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2) Treatment policy for "people who temporarily go out for medical treatment".
Starting from January 1, 2022,
for medical expenses that comply with the policy provisions,
the individual will first bear 10%,
The remaining part is settled according to the level of the medical institution where you visit,
according to the city’s medical insurance treatment policy;
The inpatient and outpatient services that return to the insured place for temporary medical treatment are subject to the insured place’s management policy.