National Medical Insurance Administration: The transfer and renewal period of medical insurance across provinces will be reduced to 15 working days. Information | Medical Insurance | National
The National Medical Insurance Administration recently issued a notice on the implementation of sixteen convenient measures for medical insurance services, proposing that the transfer and continuation time of basic medical insurance across provinces will be compressed from 45 working days to 15 working days, and promoting the application of medical insurance electronic vouchers throughout the entire process of medical treatment and drug purchase. insured persons can see doctors and buy drugs with the QR code or facial recognition of the medical insurance electronic voucher.
In terms of optimizing the transfer and continuation of medical insurance relationships, the National Medical Insurance Administration will cancel the requirement to provide materials such as "Basic Medical Insurance Participation Certificate" and "Basic Medical Insurance Relationship Transfer and Continuation Contact Letter" in the inter provincial transfer and continuation of basic medical insurance; The transfer and continuation time of basic medical insurance across provinces has been reduced from 45 working days to 15 working days; The insured no longer needs to run on both sides of the place of transfer and the place of transfer. They can choose to apply online or go to the nearest window of the handling agency in the place of transfer and the place of transfer. They can also apply online and check the progress of the application at any time.
At the same time, the National Medical Insurance Administration requires the simplification of the registration process for medical treatment in different regions and the improvement of settlement services for medical treatment in different regions. Insured individuals can apply for and complete the procedures for medical treatment in different regions through online channels such as the National Medical Insurance Service Platform APP and the National Remote Medical Treatment Filing Mini Program; If a long-term resident who resides in a different province or region has not applied for a change in registration or their insurance status has not changed after registration, the registration will be valid for a long time; Within the validity period of the registration, patients can seek medical treatment multiple times at the place of medical treatment and enjoy direct settlement services for cross provincial and cross regional medical treatment; If insured individuals have not completed the registration and filing procedures for medical treatment in a different location before hospitalization, they can apply for registration and filing procedures under the guidance of designated medical institutions. If registration and filing are completed before discharge settlement, cross provincial networked designated medical institutions should provide direct settlement services for medical treatment in different provinces and locations.
When emergency rescue occurs, if the insured person has not filed for medical treatment in a different location, it shall be deemed that the record has been filed, and the insured person is allowed to directly settle the relevant outpatient and inpatient medical expenses according to the relevant treatment standards for emergency rescue in a different location; If insured personnel who seek medical treatment across provinces and other regions settle their own expenses after discharge and complete the registration procedures according to regulations, they can apply for manual reimbursement of medical insurance according to the regulations of the insured area; When insured individuals apply for medical treatment registration in a different location, they should directly register in the city or municipality where they are seeking medical treatment, and enjoy cross provincial direct settlement services for hospitalization expenses in all cross provincial networked designated medical institutions opened in the registration location; Allowing long-term residents across provinces to enjoy benefits in both the place of registration and the place of insurance.
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If long-term residents living in different provinces and regions need to return to their place of insurance for medical treatment within the validity period of their registration, they can also enjoy medical insurance settlement services in their place of insurance; The insured with five outpatient chronic and special diseases qualifications, namely, hypertension, diabetes, malignant tumor outpatient radiotherapy and chemotherapy, uremia dialysis, and anti rejection treatment after organ transplantation, can open related outpatient chronic and special diseases cross provincial network designated medical institutions, and enjoy the cross provincial direct settlement of related treatment costs.
In addition, the National Medical Insurance Administration will implement a "one window, one service" for medical insurance handling. Promote the "comprehensive teller system" for medical insurance handling service windows, with no distinction between insurance types or matters at the front desk, one window acceptance, and one-stop service; Promote the online processing of high-frequency service matters in the medical insurance field, relying on the "Personal Network Hall" and "Unit Network Hall" medical insurance service platforms to achieve online processing of high-frequency service matters such as insurance registration and insurance information changes, and improve the online processing rate; Open multiple channels to meet the needs of the public for medical insurance information inquiry; Insured individuals can search for personal payment records, personal medical insurance accounts, cross provincial and cross regional medical settlement services, and medical insurance drug catalogs on the National Medical Insurance Service Platform APP, Online Department, or local medical insurance service platforms.
A medical insurance self-service area should be set up in the medical insurance handling hall, eligible bank branches, community service centers, designated medical institutions, and retail pharmacies to facilitate insured persons to check personal payments, account balances, and other medical insurance information that the public is concerned about; Promote the application of electronic medical insurance vouchers throughout the entire process of medical treatment and drug purchase. The insured person does not need to hold a physical card, and can see a doctor or buy medicine with the QR code or facial recognition of the medical insurance electronic voucher.