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Can Shanghai medical card be used to see a doctor in Guangzhou?
Shanghai medical card can see a doctor in Guangzhou.

Shanghai medical insurance card can be used in cities that open different places for medical treatment. Shanghai has opened entrusted reimbursement services for medical treatment in different places with Hangzhou, Jiaxing, Huzhou, Ningbo and Anji in Zhejiang, Zhenjiang, Changzhou, Nantong, Yangzhou and Dafeng in Jiangsu, Maanshan in Anhui and Luoyang in Henan 12 cities. Shanghai citizens can use their medical insurance cards to swipe their cards at designated hospitals in the above provinces for medical treatment.

Information required for medical insurance reimbursement:

1. Everyone needs to bring their own valid ID card and social security card software;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other related medical information;

4, the original unified fee invoice of the tax department of medical institutions;

5, the original prescription issued by the hospital doctor and the computer printed list of outpatient expenses;

6. If the tax goods are purchased in a designated pharmacy, a unified sales invoice and an original list printed by computer need to be prepared;

7. If it is entrusted to others, the trustee shall also prepare the original valid ID card.

Medical insurance reimbursement process:

1. The agent needs to bring relevant materials, including the original ID card, the original medical card, the hospitalization certificate of the hospital, the discharge certificate, the charging documents during hospitalization, the corresponding medical records, inspection reports and other related materials, and apply for reimbursement at the social security agency;

2. After accepting the application, the regulatory authorities will review the application materials received, and after the approval, the settlement and payment will be completed on the same day;

3. The social security agency has passed the examination, and the applicant can receive reimbursement expenses with relevant documents. Under normal circumstances, under the condition of complete information, all the reimbursement work can be completed on the same day, without having to run a few more times.

Matters needing attention in medical insurance reimbursement

1, drug purchase reimbursement

If the insured person needs to reimburse the purchased drugs, he/she needs to bring the medical insurance card to the designated medical institutions or pharmacies for purchase, and the medical expenses can be settled directly by credit card, which is not included in the overall social planning when purchasing drugs. All accounts are settled by personal account, and if the balance of personal account is used up, it can also be paid in cash.

2, outpatient reimbursement

You need to bring the original ID card and the medical certificate issued by the doctor to the relevant departments of the local social security center for processing. Those who meet the requirements after examination can apply directly. However, when the outpatient department reimburses, it is necessary to deduct the amount of the social security personal account in the current year and then check the reimbursement amount.

3, hospitalization reimbursement

When in hospital, the insured person needs to pay the deposit of medical expenses first, and when discharged, he will refund more and make up less. Medical expenses incurred before the hospitalization registration formalities shall not be reimbursed.

To sum up, Shanghai medical insurance card can be used in cities that open different places for medical treatment. Shanghai has opened entrusted reimbursement services for medical treatment in different places with Hangzhou, Jiaxing, Huzhou, Ningbo and Anji in Zhejiang, Zhenjiang, Changzhou, Nantong, Yangzhou and Dafeng in Jiangsu, Maanshan in Anhui and Luoyang in Henan 12 cities. Shanghai citizens can use their medical insurance cards to swipe their cards at designated hospitals in the above provinces for medical treatment.

Legal basis:

Article 23 of People's Republic of China (PRC) Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.