2. College students who live outside the overall planning area during holidays, suspension from school and educational practice, project research and social investigation stipulated by the school and need hospitalization or serious illness outpatient treatment shall register with the medical insurance agency through the medical security management department of the students in school and choose the designated medical institution for medical treatment. The medical expenses incurred shall be paid in full by the individual first, and reimbursed with the documents after medical treatment.
But there is a premise, that is, you must go through the formalities of filing medical insurance in different places in advance. Off-site reimbursement is very important, which can affect your reimbursement ratio. If it is indeed filed, the reimbursement rate is 90%. If it is not filed, the reimbursement rate is only 70%. Insured college students who go out to visit relatives, travel, practice, stay out of school due to illness, stay in hospital for emergency observation or stay in other places (universities running schools in both places) can be hospitalized in local public hospitals at or above the township level. Within five days of admission, the patient or his relatives shall notify the specialized personnel of the institution to go to the medical insurance agency for filing. If you are treated in multiple hospitals in different places, you must have a referral certificate between hospitals at the same level or from a lower hospital to a higher hospital. Visiting relatives, traveling, etc. In case of emergency hospitalization expenses or hospitalization expenses, the individual shall bear 10% first, and then the medical insurance pooling fund shall pay them according to the Qifubiaozhun and payment ratio of different levels of hospitals. During the internship period, winter and summer vacations, suspension due to illness, and off-site (running a university in two places), the emergency hospitalization expenses need not be borne by individuals 10%, and are paid directly by the medical insurance pooling fund according to different qifubiaozhun and payment proportion of the hospital. It can be seen the importance of reimbursement and filing in different places. The process of reimbursement in different places is as follows:
1. Confirm the hospital.
First of all, you should make sure that you went to the hospital. Only hospitals that are included in the direct settlement network in different places can you use the medical insurance card to settle accounts when you go to see a doctor in different places. Therefore, first of all, make sure that the hospital you go to is not in the network, and you can check it through the national medical insurance service platform.
2. Go to the insured place for off-site filing.
After determining the hospital, go to the social security bureau of the insured place for reimbursement in different places.
legal ground
Article 25 of the Social Insurance Law
The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.