Medical insurance cards cannot be used directly in other places, but insured persons can seek medical treatment at recognized designated medical institutions in other places after completing the medical insurance confirmation procedures in other places.

The amount in the personal medical account can be withdrawn from any business outlet with the medical insurance card and used for general outpatient expenses of the branch and for the purchase and dispensing of medicines in pharmacies. Insured persons who are ill and hospitalized (including outpatient treatment for specific items) can go to recognized local designated medical institutions for inpatient and outpatient treatment for specific items.

Medical expenses will be paid by the individual in advance. Within 1 month from the date of discharge, the insured unit will apply to the Municipal Medical Insurance Center for reimbursement with the following information.

1. Copy of the front and back of the medical insurance card;

2. Copy of the confirmed "Off-site Medical Insurance Application Form";

3. Discharge or Diagnosis certificate, and medical expenses for specific outpatient items must be attached with a copy of the "Mente Application Form" approved by the Municipal Medical Insurance Center (except emergency stay for observation);

4. Detailed list of medical expenses;

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5. Formal invoice for medical expenses (with the signature of the reimbursor on the back).

When the insured becomes seriously ill while traveling, studying, or visiting relatives in other places (excluding Hong Kong, Macao, and Taiwan), they can go to local public hospitals for medical treatment, and the outpatient medical expenses will be borne by the insured; upon approval Expenses incurred for hospitalization (including emergency observation treatment) will be paid in advance by the insured person, and then the unit manager will apply for sporadic reimbursement at the Municipal Medical Insurance Center with the following information:

1. Certificate from the guarantor;

2. Copies of the front and back of the medical insurance card;

3. Discharge or diagnosis certificate;

4. Details of medical expenses List;

5. Medical expense invoice (with the name of the reimbursor on the back);

6. Copy of hospitalization medical records.

Extended information

1. When the medical insurance agency handles the approval procedures for transferring medical treatment abroad, if the symptoms of some insured persons can be observed in advance, when going through the approval procedures, The insured person is first required to go to the medical insurance agency to check his condition and conduct a pre-evaluation. After discharge, he will compare it with the discharge record, discharge certificate, and expense list. If necessary, he can be asked to go to the medical insurance agency again to check the treatment effect.

2. Approved transfers for medical treatment or persons living in other places are admitted to hospitals in other places. After the medical insurance agency receives the declaration, if the medical history is unclear or there are questions about the current condition and it is difficult to verify it after discharge. In order to prevent false admissions and false admissions, staff are directly sent to the hospital where you live to conduct on-site audits. If necessary, digital photos can be taken and stored in the medical insurance computer management system for future reference.

3. When going through the approval procedures for transferring medical treatment outside the country, the medical insurance agency may require the medical personnel who plan to undergo surgical treatment to go to the agency to observe the operation situation after discharge, and conduct an on-site audit before reimbursement. cost.

4. If surgical treatment is performed on a person who lives in another place, the person may be required to take photos showing the local and full body conditions of the operation after discharge from the hospital, and submit them to the medical insurance agency for review together with other relevant materials. .

5. Conduct audits based on the medical history files of insured persons. Gradually establish the medical files of insured medical personnel, record the verified medical history, and input the main contents of the files into the medical insurance computer management system. When going through the approval procedures for medical transfer abroad, the medical insurance agency can first check the medical history files of the insured persons.

Reference material: Baidu Encyclopedia - Medical insurance in other places