Step 1: The attending doctor transferred to the hospital fills in the Record Form for the Transfer of the Insured Persons of Foshan Basic Medical Insurance (hereinafter referred to as the Record Form);
The second step; Transfer to the medical department of the hospital to review and seal the filing form;
Step 3: Turn out the front desk of the hospital charge office and input the record sheet into the medical insurance system;
Step 4: The insured person or agent applies to the social security agency where the insured person is located for transfer approval with the filing form, the insured person's ID card, medical records and other related materials.
After completing the four steps, the insured person can enjoy social security reimbursement for medical expenses incurred in hospitalization in hospitals outside the city. In addition, the insured person can be transferred to the hospital first because of the need for treatment of acute and critical diseases, and at the same time, he can entrust others to go through the examination and approval procedures for re-transfer within 5 working days from the date of admission. Without the approval of the social security agency of the insured place, the medical insurance fund will not pay for hospitalization in medical institutions outside the city.
Extended data:
Referral and placement
1. If the insured person is transferred to other medical institutions for diagnosis and treatment due to the conditions of designated medical institutions or specialized diseases, the approval form for referral and transfer shall be filled in. The reason for referral and transfer is put forward by the attending physician, the director of the department puts forward the opinion of referral and transfer, the medical institution medical insurance office reviews it, the dean in charge signs it, and it can be transferred only after being reported to the municipal medical insurance center for examination and approval.
2. In principle, referrals should be made outside the city, inside the province and outside the province. The city's referral regulations are carried out between designated medical institutions. The referral outside the city is proposed by the designated medical institutions above Grade III in this Municipality.
3. The medical expenses incurred after the insured person is referred to another hospital shall be paid by the individual or unit in cash. After the medical treatment, the insured person or his agent will submit the referral approval form, medical record certificate, prescription and valid documents to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of the overall fund payment.
References:
Foshan Traditional Chinese Medicine Hospital-Learn more about the transfer procedures and don't worry about medical insurance reimbursement.