Guangzhou medical insurance can be reimbursed in different places.
medical insurance participants in Guangzhou can enjoy medical insurance reimbursement when they seek medical treatment in other places (such as Sichuan). It is a necessary premise to apply for medical record in different places, which can be completed through online channels such as the national medical insurance service platform APP, the national medical record small program, or offline channels such as the window of the insurance agency. The reimbursement ratio varies according to the expense range, such as 88% for the part below 3,111 yuan, 91% for 3,111 to 5,111 yuan, 92% for 5,111 to 11,111 yuan, and 95% for the part above 11,111 yuan within the maximum payment limit. The reimbursement rate of class B drugs, expensive drugs and special inspection and treatment items is relatively low. It should be noted that medical insurance for external use is not reimbursed.
reimbursement process in different places:
1. Prepare relevant materials, including ID card, medical insurance card, registration certificate of medical treatment in different places, original invoice of medical expenses, detailed expense list, diagnosis certificate, etc.
2. Submit an application for reimbursement of medical treatment in different places to the medical insurance agency in the place where the medical treatment is sought, and provide the above materials;
3. The handling institution shall review the materials, and may need supplementary materials or explanations in case of doubt;
4. after the approval, the medical insurance agency will transfer the reimbursement to the bank account designated by the individual.
to sum up, Guangzhou medical insurance can be reimbursed in different places, but it needs to be filed in different places and enjoy different reimbursement rates according to different expense ranges. The process of reimbursement in different places includes preparing relevant materials, submitting applications, reviewing materials and allocating reimbursement funds.
Legal basis:
Article 29 of the Social Insurance Law of the People's Republic of China
The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.