1.Direct settlement of off-site card medical treatment is a new expense reimbursement policy and settlement method established by the state to solve the problems of manual reimbursement of medical expenses of off-site medical treatment and hospitalization of insured personnel of basic medical insurance, such as "advance payment, running errands, and long reimbursement cycle".
2.If you hope that the hospitalization medical expenses of this visit to Beijing can be settled directly, you need to first go through the registration procedures for medical treatment in different places at the local human resources and Social Security Bureau, and see a doctor at the designated medical institution in Beijing selected by you for filing, and go through the hospitalization registration and medical treatment according to the direct settlement method. Direct settlement can be implemented when you leave the hospital.
3. The social security card is the only identification certificate for your direct settlement and medical treatment in Beijing. When handling the procedures of hospitalization registration and discharge settlement, you should take the initiative to show it and seek medical treatment in your real name.
4. The inpatient medical expenses you directly settle shall be subject to the payment scope of the city's catalogue of drugs, diagnosis and treatment and service facilities; The minimum payment standard, payment proportion and maximum payment limit of the medical insurance fund shall be implemented in accordance with the policies of your insured place.
5.You need to implement the city's relevant medical procedures and management norms when you directly settle for medical treatment in this city; The designated medical institutions in this city will provide you with medical services and medical treatment management in accordance with the relevant provisions of the service agreement of designated medical institutions of Beijing basic medical insurance.
6.When you discharge from the direct settlement designated medical institution that you have filed with me, the designated medical institution will settle the expenses that should be borne by you according to the results of the calculation and feedback of the system where you are insured; If you need to settle the inpatient medical expenses in full for some reason, you should inform the handling agency of your insured place in advance, change the settlement method to full settlement after approval, and return to the insured place for manual reimbursement according to the regulations.
7.If you have any questions about the policies and regulations related to direct settlement and the medical reimbursement process, you can consult the medical insurance office of the hospital, or you can call the human resources and social security consulting number 12333 of the city or your insured place for consultation. You can also log in to the "social insurance online inquiry system" of the Ministry of human resources and social security (website: http//si.12333.gov.cn)Query the relevant policies and regulations of direct settlement, the information of the overall planning region and designated medical institutions that have opened business, my direct settlement of inpatient medical expenses and registration information, etc
Telephone:13810706073
Address:A19 Fushi Road, Haidian District, Beijing
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