I. Service suspension time
From 2002111818, all provincial medical insurance units and personal outlets stopped all online medical insurance services until further notice.
0 1, 1 1, 2 1, 18, the provincial medical insurance agency suspends all medical insurance business, and all designated medical institutions suspend medical insurance card swiping and various medical expense reimbursement services; It is estimated that all medical insurance services will be fully restored from 02 1 165438+8: 00 on October 28th.
According to the progress of platform testing, if the service recovery time is advanced or delayed, an announcement will be issued in official website and other media channels of Henan Medical Insurance Bureau, so please pay attention to it in time.
Second, the service suspension period affects the business scope.
During the platform test, all medical insurance services in the province will be suspended, mainly including all medical insurance handling services such as unit and individual registration, information change and relationship transfer, medical treatment filing, expense reimbursement and information inquiry.
Three. Guidelines for handling some services during service suspension
About customs declaration and payment business
During the suspension of service, the insured units will not be affected by handling the declaration and payment business in the tax hall of the tax department. After the service is resumed, in case of special circumstances, the insured unit may go to the medical insurance agency to handle the manual payment of employee medical insurance with the tax payment certificate issued by the tax department.
About outpatient medical treatment and drug purchase in pharmacies
1. During the suspension of service, the insured can't pay by credit card when seeking medical treatment in the outpatient department of designated medical institutions or purchasing medicines in designated retail pharmacies. Please arrange the time for medical treatment and medicine purchase reasonably.
2. During the suspension of service, the application for outpatient treatment of chronic diseases and the change approval of designated medical institutions for outpatient chronic diseases shall be suspended.
3. Insured patients who have enjoyed the treatment of chronic diseases in outpatient department should prescribe drugs for 65,438+2 months at designated medical institutions before 1 18+07: 00.
4. Insured patients who have enjoyed outpatient specific drug treatment should go to designated medical institutions for medical treatment and purchase drugs in advance according to their own treatment needs. If you can't buy medicine in advance, please keep the bills and vouchers for subsequent reimbursement when the system switches.
About reimbursement of local hospitalization expenses
Before 1, 1 1, 2 1, 1, 1, 65438, 1, 65438.
2. During the suspension of service, the provincial-level insured persons who meet the discharge standards can go through the discharge procedures first, and then re-apply for medical insurance hospitalization registration and reimbursement in the original medical institution after resuming service; Newly hospitalized provincial-level insured persons should first register at their own expense, and then apply for medical insurance hospitalization registration and reimbursement after the service is restored.
About medical treatment in different places and transfer to other hospitals.
1. Provincial insured persons seek medical treatment in different places.
Before 1 1, before 2 1, before 18, the insured directly settled the designated medical institution for medical treatment in different places. Those who meet the discharge standards should go through the discharge reimbursement procedures in time; Need to continue hospitalization, after the resumption of service, you can go through the discharge reimbursement procedures in designated medical institutions. Due to special reasons, patients can be discharged at their own expense and bring relevant materials to the provincial medical security service center for reimbursement according to regulations.
During the suspension of service, provincial-level insured persons need to be hospitalized at their own expense if they need to be transferred to designated medical institutions for medical treatment in different places. Within 7 working days after the resumption of service, you should contact the provincial medical security service center for medical treatment in different places, and go through the discharge reimbursement procedures directly at the medical institution when you leave the hospital.
During the suspension of service, provincial-level insured persons cannot directly settle the general outpatient expenses for medical treatment in different places. Patients with serious diseases in outpatient clinics in different places shall settle at their own expense according to the original method, and bring relevant materials to the provincial medical security service center for reimbursement according to regulations after resuming service.
2, the insured in different provincial designated medical institutions for medical treatment.
Before 1 1 and 2 1, the designated medical institutions in different places in the province are responsible for changing the inpatients who are insured in different places into patients at their own expense, and re-apply for medical insurance hospitalization registration and reimbursement after the service is restored. Insured persons from different places who meet the discharge standards should go through the discharge reimbursement procedures in time.
During the suspension of service, the insured persons in different places who meet the discharge standards shall go through the discharge formalities at their own expense and bring relevant materials to the medical insurance agency in the insured place for reimbursement; Newly hospitalized insured persons in different places should first register at their own expense, and then apply for medical insurance hospitalization registration and reimbursement after the service is restored. Due to special reasons, patients can be discharged at their own expense first, and bring relevant materials to the medical insurance agency in the insured area for reimbursement according to regulations.
Please arrange the processing time of medical insurance business reasonably, and all designated medical institutions and insured units should conscientiously do a good job in publicity and explanation. Other post adjustments will be notified separately.
I sincerely thank the vast number of insured persons, insured units, designated medical institutions and all sectors of society for their understanding and support of medical security work!
Henan Medical Security Service Center Tel:
Insurance registration information maintenance part: 037 1-657423 13.
Fund Management Section: 037 1-8659 1750
Staff Hospitalization Support Section: 037 1-69698589
Outpatient treatment support department: 037 1-6575 1397.
Maternity insurance benefits protection section: 037 1-657427 12.
Supplementary medical insurance management section for enterprise employees: 037 1-65742326
Resident medical security service section: 037 1-69698582
Medical Security Department of Retired Cadres: 037 1-65853070
Remote medical management section: 037 1-657423 16
Protocol Management Department: 037 1-86599875
Industry Unit Management Section: 037 1-69698588
Henan Medical Security Statistical Analysis Center: 037 1-69698570
Henan Oilfield Branch of Henan Medical Security Service Center: 0377-6383067 1
Zhongyuan Oilfield Branch of Henan Medical Security Service Center: 0393-48 19803
State Grid Henan Medical Security Service Center Electric Power Branch: 037 1-67903525, 67903524.