Cross-provincial medical treatment in different places, easy online filing! (with detailed operation method)

The National Medical Insurance Bureau and the Ministry of Finance jointly issued the Notice on Further Improving the Direct Settlement of Medical Treatment in Different Provinces of Basic Medical Insurance. The "Notice" clarifies that insured persons who live in different provinces for a long time or temporarily go out for medical treatment in different provinces can enjoy direct settlement services for medical treatment in different provinces after filing for medical treatment in different places. The "Notice" pointed out that before the end of 2025, the inter-provincial direct settlement rate of hospitalization expenses will be increased to over 70%, and medical insurance reimbursement can be basically handled across provinces online and offline.

From January 1, 2023, the direct settlement of medical treatment across provinces was officially implemented! Which groups are applicable? How to file? How to settle accounts? Let’s have a look!

01
What are the specific applications?What about the crowd?

Long-term residents in different provinces include retirees resettled in different places, long-term residents in different places, permanent staff in different places and other people who have worked, lived and lived outside the insured provinces, autonomous regions and municipalities directly under the central government for a long time;

Inter-provincial temporary medical personnel include those who have been referred for medical treatment in different places, emergency rescue personnel in different places due to work, tourism and other reasons, and other inter-provincial temporary medical personnel.

02
How to handle cross-provincial and different placesWhat about medical record?

Scan the sunflower code below,
The State Council client applet
[Inter-provincial medical record in different places]
To help you!

Step 1: Scan the code to enter the applet, and click [Start Filing].

Click [Start Filing] to enter the "Off-site Filing" page, where the insured can inquire about the opening of the overall planning area and the opening of designated medical institutions (inpatient, outpatient, outpatient with chronic diseases).

Step 2: Click [Application for Record of Medical Treatment in Different Places] and select the record type.

According to the actual situation, the insured chooses the insured place, medical place, insurance type and filing type.

Step 3: Read the filing notice and submit the filing materials.

Check the filing information, select the start time of filing application, fill in the contact information, and upload the corresponding filing certification materials according to the different categories of filing personnel, such as resident ID card, referral and transfer certification materials, residence permit, work contract, etc.

Tip:

According to the Notice on Further Improving the Direct Settlement of Medical Treatment in Different Provinces of Basic Medical Insurance,

Emergency personnel in different places are deemed to have been filed, and no additional filing materials are required.

Medical records in different places are allowed to be reissued. If the insured person goes through the medical record in different places before the inter-provincial discharge settlement, the designated medical institution connected to the medical place shall handle the inter-provincial direct settlement of medical expenses for the insured person. If the insured person who goes to different provinces for medical treatment goes through the filing formalities according to the regulations after being discharged from hospital at his own expense, he can apply for manual reimbursement of medical insurance according to the regulations of the insured place.

Long-term residents in different provinces shall register for the record, and the record shall be valid for a long time; In principle, the validity period of the inter-provincial temporary medical personnel is not less than 6 months. During the validity period, they can see a doctor many times in the medical place and enjoy the direct settlement service of inter-provincial medical treatment in different places.

Step 4: Check the filing progress.

Go back to the home page and click Progress Query to query the filing status with one click.

03
After the record is successful, you canSelected points, certified medical treatment.

Selected point:

According to the demand, select the designated medical institutions/retail pharmacies networked in different places.

Here’s the guide → Designated hospitals and pharmacies for medical insurance, one-click query →

Holding a code card for medical treatment:

Insured persons are required to show valid certificates such as medical insurance electronic certificate or social security card when they register in hospital, settle accounts at discharge and settle accounts at outpatient clinics.

Electronic social security card/medical insurance electronic certificate is also effective, and scanning code is available!

Inter-provincial networked designated medical institutions provide reasonable and standardized diagnosis and treatment and direct settlement services for medical expenses for outpatients (emergency) and inpatients who meet the requirements of medical places.

Pay attention to the the State Council client service number.
Send keywords in the dialog box
"medical treatment in different places" and "social security",
You can also get related services quickly!