Can ordinary outpatient clinics in Yangjiang City be reimbursed?The department responded

Author:Yangjiang Published Time:2022.09.27

Yangjiang Day News (Reporter/Wu Xiaoxia) Recently, Ms. Wen, a citizen, called 12345 government service to the public hotline that her residence was in Jiangcheng District, and the child paid urban and rural residents in Jiangcheng District. When the health center saw the clinic, the staff said that the insured in Hailing District could reimburse the outpatient cost, and the insured in Jiangcheng District could not be reimbursed. Because she is currently working in Zhapo, the child will also see a doctor at Zhapo Health Center when she is sick. Can ordinary outpatient clinics be reimbursed like her child?

The reporter consulted the medical insurance department. The relevant person in charge said that in accordance with the current policies, the medical insurance insured person in urban and rural residents went to the town health center (street community health service center) of the household registration. You only need to bring your ID card or social security card to enjoy the overall treatment of ordinary outpatient clinics and pay the payment and pay it. Pay the personal section when the outpatient medical expenses.

Because Ms. Wen's children belong to the city's cross -district consultation, according to the current policies, medical insurance insured persons who live and work across districts in the city, rely on their ID cards or social security cards to the township health center (street community health service Center) Fill in the "Yangjiang City Residents' Medical Insurance General Outpatient Clinic City Residential Residence (Working) referral form", go through the general outpatient clinic transfer procedures, and stamp it after the household registration town health center (street community health service center) is confirmed. The township health center (street community health service center) of the residence and workplace shall be transferred to the transfer procedures, and then the current residential and place medical insurance agencies shall go through the registration procedures. The town health center (street community health service center) and the designated village health stations in their jurisdictions are reimbursed for reimbursement of ordinary outpatient treatment.

It should be noted that starting from October 1, employees in our city and general outpatient clinics of urban and rural residents will implement a new policy. Employees and urban and rural residents' medical insurance insured persons must select a designated medical institution at a grass -roots level within this city (including town health centers, community health service centers, and village health stations that implement basic drug systems and towns and villages. The outpatient medical institution for medical treatment and applied to the medical insurance agency for filing. After the filing, the principle will not be changed within the previous year. If the insured is indeed the case of residential migration and other situations that need to change the selected general outpatient medical institution, they may submit the relevant materials to the medical insurance agency to apply for the change procedures.

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