The latest convenient measures are here! Related to the transfer and continuation of medical insurance, direct settlement for medical treatment in different regions → medical insurance | medical treatment in different regions

On June 17th, the National Medical Insurance Administration issued a notice on the implementation of sixteen convenient measures for medical insurance services. In response to the bottleneck issues in people's handling of medical insurance business, such as the transfer and continuation of medical insurance relationships, direct settlement for medical treatment in different regions, medical insurance information inquiry, and electronic medical insurance vouchers for medical treatment and medication purchase, the notice aims to simplify procedures, streamline materials, compress time limits, and innovate service models.

The Notice requires effective implementation to ensure new breakthroughs and achievements in convenient services by the end of August this year. The specific sixteen measures include:

Optimize the transfer and continuation of medical insurance relationships

Simplify procedures. Cancel the requirement to provide materials such as "Basic Medical Insurance Participation Certificate" and "Basic Medical Insurance Relationship Transfer and Extension Contact Letter" in the inter provincial transfer and continuation of basic medical insurance.

Shorten the processing time. 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.

Simplify the registration process for medical treatment in different locations and improve settlement services for medical treatment in different locations

Convenient for the public to handle medical records in different places through multiple channels. Insured individuals can apply for remote medical registration procedures through online channels such as the National Medical Insurance Service Platform App and the National Remote Medical Registration 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. During 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 individuals who seek medical treatment across provinces or other regions and 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 place of insurance.

When insured individuals apply for medical treatment registration in a different city, they can directly register in the city or municipality where they are seeking medical treatment, and all cross provincial networked designated medical institutions opened in the registration area can enjoy cross provincial direct settlement services for hospitalization expenses. Allowing long-term residents across provinces to enjoy benefits in both the place of registration and the place of insurance. If long-term residents living in other 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.

Promote "One Window, One Stop" medical insurance handling services

Promote the "comprehensive teller system" for medical insurance handling service windows, with a front desk that does not distinguish between insurance types or matters, one window acceptance, and one-stop service. The back office is divided into joint and fast processing, allowing the public to enter one door, pick up one number, and handle it at one window.

Promote online handling of high-frequency service matters

Convenient online services for insured individuals and insured units. By relying on the medical insurance service platforms "Personal Network Hall" and "Unit Network Hall", high-frequency service items in the medical insurance field such as insurance registration and information changes can be processed online, improving the online processing rate.

Opening multiple channels to meet the needs of the public for medical insurance information inquiry

Insured individuals can access information such as 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.

Set up medical insurance self-service areas in the medical insurance handling hall, eligible bank branches, community service centers, designated medical institutions, and retail pharmacies, to facilitate the public's inquiry of personal payment, account balance, and other medical insurance information that the public is concerned about.

Convenient for the public to seek medical treatment and purchase medicine

Promote the application of electronic medical insurance vouchers throughout the entire process of medical treatment and drug purchase. Insured individuals do not need to hold physical cards, and can seek medical treatment and buy medication with their medical insurance electronic voucher QR code or facial recognition.