Ji'nan residents can not be reimbursed for medical treatment elsewhere, because they did not report to the Social Security Bureau within 3 days.
not long ago, Ms. Zhang, the citizen of Wei Jia Zhuang, in the middle of the city, was hospitalized for a sudden illness in the old home of Weifang, and the cost of operation was close. Ten thousand yuan, however, as a resident insured, she was told that the medical cost could not be reimbursed. The staff of the Ji'nan Social Security Bureau said the resident medical reimbursement should meet the two conditions of preparation and emergency in 3 days. Ms. Zhang did not report it and could not reimburse it according to the regulations.
"at that time, I was in Weifang coach station, I suddenly had a stomachache, and later I was admitted to Weifang Hospital of Traditional Chinese Medicine by 120." Ms. Zhang told reporters that in May 14th, she made hysteromyoma resection in the hospital and discharged in May 22nd, which spent 9600 yuan. Ms. Zhang has a resident social security in Ji'nan, but after she returned to Ji'nan, the relevant departments claimed that she could not reimburse the situation because it was not reported in time.
"they said I should call the Social Security Bureau in Ji'nan after I was hospitalized, but I didn't know that there was such a rule." Ms. Zhang was quite helpless about it.
"foreign medical reimbursement is usually only two cases: one is in the field of emergency first aid, two is in the local three a hospital can not be treated, after the doctor has a referral certificate, transferred to Beijing, Shanghai, Tianjin medical treatment." Ji'nan social insurance bureau related staff said that for emergency emergency treatment in the field, it should be reported to the District Social Security Bureau within 3 days after hospitalization, and later provide relevant medical information; otherwise, it can not be reimbursed according to the regulations. It is understood that this is the "thirty-fourth rules for the implementation of the Interim Measures for the basic medical insurance of urban residents in Ji'nan".
for this provision, Ms. Zhang questioned: when the initial management of social security, whether the office or the social security bureau did not inform the matter, so I never know that the medical treatment in a foreign place should be prepared. What's more, Ms. Zhang thinks the most important thing is that since the emergency is urgent and the illness endanger the life, where does the patient have enough time to call the social security bureau?
according to the relevant reports, in Tianjin, residents of social security participation in business, visiting relatives and temporary outings in the field, such as emergency hospitalization, can be put on record to the social insurance agency of the employer's district (county) within a week. And according to the medical insurance regulations of Shanghai residents, the insured personnel who live in the field go to the nearest street community affairs reception center to deal with the medical care service point, and the medical expenses of the medical insurance regulations in the field of medical insurance can be returned to the city of Shanghai to review the reimbursement. The emergency and emergency medical expenses can be reimbursed without transfer procedures.