Can medical insurance be used to seek medical treatment in other places?

Mondo Social Updated on 2024-01-29

Medicare can be used to seek medical treatment in other places, but there are certain regulations and procedures that need to be followed. The following is a brief introduction to the relevant information of remote medical treatment:

1.Filing for medical treatment in other places:If the insured person needs to seek medical treatment in another place, he or she should apply to the medical insurance agency in the place where he or she participates in the insurance for the record. When filing the record, you need to provide your ID card, social security card, application form for medical treatment in other places and other materials. After the filing is successful, only those who seek medical treatment in other places can enjoy medical insurance reimbursement.

2.Reimbursement for medical treatment in other places:The reimbursement policy for medical treatment in other places is different from that of the insured place, and the reimbursement ratio, reimbursement limit, and reimbursement items may be restricted. The reimbursement for medical treatment in other places generally follows the principle of "directory of medical treatment places and treatment of insured places". This means that the reimbursement scope and standards for medical treatment in other places are implemented in accordance with the regulations of the place of medical treatment, but the calculation of the reimbursement amount is still in accordance with the regulations of the insured place.

3.Settlement of medical treatment in other places:In order to facilitate the settlement of medical treatment in other places of the insured persons, after the insured persons have filed for the record, they can use the social security card for real-time settlement when they seek medical treatment in other places. If you can't get reimbursement in real time, collect the relevant materials and go back to the place where you are insured to apply for reimbursement.

4.Seeking medical treatment in other places under special circumstances:For special circumstances such as acute and critical illness and accidental injury, the insured person can pay the expenses in advance after seeking medical treatment in other places, and then return to the insured place to apply for reimbursement.

In short, medical insurance can be used for medical treatment in other places, but it needs to be filed in advance and follow the corresponding regulations. When seeking medical treatment in other places, the reimbursement policy may be different from the place where you are insured, so please understand and prepare in advance.

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