First, the scope of reimbursement for medical treatment in different places for student medical insurance

College students who belong to the following medical treatment in different places can enjoy the corresponding medical insurance benefits for urban and rural residents according to regulations:

1. Emergency treatment in different places: emergency observation and hospitalization expenses incurred by the insured in medical institutions in different places in China due to emergency treatment and rescue.

2. Students seek medical treatment in different places: patients with chronic diseases who return to the prefecture-level city where their parents live or stay in different places during holidays or due to illness, or who are hospitalized in different medical institutions, outpatient specific projects and outpatient medical treatment during their study and internship in different places.

3. Referral from different places: After being confirmed by the medical insurance agency of this Municipality, the insured persons are transferred to different medical institutions for hospitalization.

4. Other medical treatment in different places as stipulated by the policy.

The second is the proportion of reimbursement for student medical insurance in different places.

1. For the insured who have gone through the confirmation procedures for medical treatment in different places, the medical expenses that meet the requirements shall be settled by the designated medical institutions in different places according to the relevant regulations.

2, has been networked with designated medical institutions in different places for medical expenses accounting and settlement, the municipal medical insurance secondary agencies no longer handle medical expenses reimbursement.

3, the insured unconfirmed long-term remote medical treatment, remote referral, hospitalization, outpatient specific items and outpatient designated chronic diseases of basic medical expenses, pooling funds to pay 35%, the corresponding Qifubiaozhun is 1000 yuan.

Three, students' medical insurance reimbursement in different places required materials and processes

1. College students with official status in Guangzhou should go through the confirmation procedures for medical treatment in different places in advance if they need to return to their domicile or their parents' current residence during their long-term study, internship or sick leave in other places. The insured person can choose 1 ~ 3 medical institutions in different places within the jurisdiction of the prefecture-level city where he lives and studies, as the medical institutions for the insured person to seek medical treatment in different places. If there are designated medical institutions in different places within the jurisdiction of prefecture-level cities, priority will be given to designated medical institutions in different places (the relevant list will be published by the portal website of the Municipal People's Social Security Bureau).

2, bid for medical treatment in different places should provide the following information:

A. Fill in the complete Record Book of Medical Treatment in Different Places of Guangzhou Social Medical Insurance in duplicate (which can be downloaded from the portal website of the Municipal Social Security Bureau).

B. Original social medical insurance certificate or personal identification certificate. (When entrusting others to handle it: provide the power of attorney, a copy of the client's ID card, a copy of the social medical insurance certificate and the original and copy of the client's ID card; When the school manager handles it: provide the school letter of introduction and the original and photocopy of the manager's ID card. )

C. Relevant certificates issued by the school shall be sealed by the school for confirmation.

3. If the insured person returns to school after internship, study and vacation, or the situation changes and no longer belongs to the scope of medical treatment in different places, he should promptly go to the secondary medical insurance agency in this Municipality to cancel medical treatment in different places.

4. Insured persons who have gone through medical treatment in different places, who are treated with outpatient specific items or outpatient designated chronic diseases in different medical institutions, shall go through the relevant formalities in the secondary medical insurance agency of this Municipality according to the relevant provisions of outpatient specific items or outpatient designated chronic diseases.

5, belonging to the remote referral, referral procedures shall be handled in accordance with the relevant provisions of the transfer of medical institutions outside the region. Due to illness, it is necessary to continue hospitalization in referral medical institutions outside the overall planning area, or if the insured person needs to be referred again during treatment outside the city, it is necessary to provide relevant information and report it to the secondary medical insurance agency of this Municipality for confirmation. Each confirmation is valid for 6 months.

6. The insured persons who have gone through the confirmation procedures for medical treatment in different places will temporarily return to the overall planning area of this Municipality for medical treatment. In the designated medical institutions, emergency observation, emergency hospitalization, and outpatient specific items and chronic diseases that have been confirmed in designated outpatient clinics meet the prescribed medical expenses. The insured person shall pay the medical expenses first and then apply to the secondary medical insurance agency of this Municipality for reimbursement of sporadic medical expenses, and other medical expenses shall not be paid by the medical insurance fund.

7. If the insured person who has handled the specific project of outpatient service in different places and confirmed the treatment of chronic diseases in the designated outpatient service temporarily returns to the overall planning area of this Municipality for medical treatment, the above-mentioned sporadic medical expenses shall be reimbursed for no more than 6 months in a medical insurance year for urban and rural residents.

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.