Xinyang retired workers, who live in different places, go directly to the medical insurance bureau where Xinyang medical insurance is located to go through the medical treatment procedures for retirees in different places. After that, the expenses of hospitalization in designated medical insurance institutions in different places will be settled directly in agencies in different places.
according to
Ministry of Human Resources and Social Security, Ministry of Finance
Notice on Doing a Good Job in Direct Settlement of Medical Expenses of Inpatients in Different Provinces of Basic Medical Insurance
No [20 16] 120 issued by Ministry of Human Resources and Social Security.
I. Objectives and tasks
By the end of 20 16, the nationwide networking will be basically realized, and the direct settlement of hospitalization medical expenses for retirees in different places will be initiated; 20 17 gradually solve the direct settlement of hospitalization expenses for retirees resettled in different places across provinces, and expand it to the direct settlement of hospitalization expenses for those who meet the referral conditions at the end of the year. Combined with the reform of local household registration and residence permit system, long-term residents and permanent residents in different places will be gradually included in the direct settlement of hospitalization medical expenses in different places.
Second, the basic principles
(1) specification is convenient. Insist on providing convenient and fast settlement services for the insured. The insured person only needs to pay the hospitalization medical expenses borne by the individual according to the regulations, and other expenses are paid by the medical handling institutions and designated medical institutions according to the agreement.
Third, standardize the process of medical treatment in different places.
(5) standardize the transfer-out process. The insured shall register with the agency of the insured place before seeking medical treatment across provinces. In accordance with the local regulations, the handling agency of the insured place handles the procedures for filing medical records in different places for the insured, and establishes a database of medical records in different places to realize dynamic management. The insurance agencies will report the information of medical personnel in different places to Ministry of Human Resources and Social Security social insurance agencies (hereinafter referred to as ministerial agencies) to form a national database of medical personnel in different places for medical institutions and designated medical institutions to obtain the information of medical personnel in different places.
(6) Standardize the settlement process. When the insured person is discharged from hospital in different places, the agency in different places will transmit the hospitalization expenses and other information to the agency in the insured place in real time through the national settlement system for different places, and the agency in the insured place will calculate the amount that the insured person should pay and various medical insurance funds according to local regulations, and send the calculation results back to the designated medical institutions in the medical place through the national settlement system for direct settlement between the designated medical institutions and the insured person.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.