What is the remote settlement process of medical insurance?
The medical insurance settlement process mainly includes the following steps:
Insured persons need to file for medical treatment in other places first, and can handle it through online and offline channels such as the National Medical Insurance Service Platform APP, the National Remote Medical Treatment Filing Mini Program, the ** Client Mini Program, or the window of the handling agency in the place where the insurance is insured.
After completing the filing, the insured person needs to select the place of medical treatment, and enjoy the inter-provincial direct settlement service of hospitalization expenses in all inter-provincial networked designated medical institutions opened in the place of filing.
If the insured place requires the insured to choose a certain number of medical treatment or purchase drugs in a designated level of cross-provincial network designated medical institutions, it shall be implemented in accordance with the regulations of the insured place.
Insured persons are required to present valid vouchers such as medical insurance electronic vouchers or social security cards when they register for admission, discharge and outpatient settlement, and provide reasonable and standardized diagnosis and treatment and direct settlement services for medical expenses for outpatient and emergency and inpatients who meet the requirements of the place of medical treatment.
How do I use the ICP filing for medical treatment in a different place?
After the remote medical ICP filing is successful, you can perform the following operations:
Perform operations such as taking medicine and receiving medical treatment in a remote hospital.
Make an appointment in advance or in real time on the day of your visit.
At the end of the visit, you need to pay the fee to the hospital, and the hospital will reimburse the user according to the actual expenses incurred.
To apply for hospitalization in a non-local hospital, you need to file in advance and pay a fee deposit.
After the completion of medical treatment in other places, you need to return to the medical institution used for registration and filing to go through procedures such as uploading materials and returning the deposit.
The user has the right to request a prescription for reimbursement for medical treatment in other places after the end of the consultation.
If it is a cross-provincial and non-local medical treatment, the insured person needs to fill in the remote medical treatment filing approval form at the social security center of the insured place with the social security card for registration.
After approval and filing, select the designated medical institution in the place of residence in accordance with the principle of proximity.
When settling cross-provincial and non-local medical treatment, the remote medical personnel shall hold the social security card issued by the insurance co-ordination area to seek medical treatment in the selected designated medical institution.
You can check the status of the filing in the national remote medical treatment filing applet, and after the filing is successful, you only need to bring your social security card or medical insurance electronic voucher to settle medical expenses in other places.