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List of business consultation telephone numbers of Shouguang Medical Insurance Bureau (Telephone number of Shouguang Medical Insurance Bureau)

Business consultation hotline of Shouguang Medical Insurance Bureau

Office: 5297977

Unit insurance payment and relationship transfer: 5260608

Resident medical insurance and medical insurance , medical assistance, maternity insurance: 5193862

Employee medical insurance network, reimbursement: 5193602

Resident medical insurance network, reimbursement: 5223226

Medical insurance personal account, chronic disease, two Medical business: 5266711

Remote medical treatment and outpatient contract signing: 5260521

"Dual-channel" drug handling: 5262052

*Extended content

In order to provide more efficient and high-quality medical insurance services, in accordance with the unified deployment of the state and the Shandong Provincial Medical Security Bureau, the national medical security standardized information platform is scheduled to be switched online from 17:00 on November 22, 2021. During the switching period, the relevant medical insurance online handling services in Shouguang City will be suspended. The specific matters are announced as follows:

1. Service suspension time

Service suspension time:

Starting from 17:00 on November 22.

Service resumption time:

Starting from 8:00 on December 2.

2. Suspension of medical insurance services

Employee insurance registration and transfer continuation

1. During the system switching and downtime, the processing of base declarations and reporting of units and employees will be suspended. Insurance registration, information change, employee increase or decrease, medical insurance payment, inquiry, personal account transfer and other services; urban and rural residents' medical insurance registration, information change, payment, inquiry and other services are temporarily suspended and will be gradually resumed after the system switch is completed.

2. Transfer and continuation of employee basic medical insurance relationship. When the employee basic medical insurance relationship is transferred, the "Basic Medical Insurance Participation Certificate" and "Basic Medical Insurance Transfer Type Change Information Form" will be collected normally and compiled and recorded. Business processing will be centralized after the system switch is completed. The employee basic medical insurance relationship will be transferred out and the processing will be suspended during the system switching and shutdown. The processing will be gradually resumed after the system switching is completed.

Settlement of outpatient and inpatient medical expenses in medical insurance designated medical institutions

1. Settlement of outpatient chronic disease medication expenses. During the system switching and downtime, insured persons who need to purchase medicines at designated medical institutions for outpatient chronic diseases can go to the designated medical institutions to prescribe one month's medication in advance according to their condition and in accordance with relevant regulations before the shutdown and switching to ensure uninterrupted daily medication. If medicines are prescribed and treated during the system switching and downtime, insured patients can pay the medical expenses in full first. After the system switching is completed, they can bring their medical insurance card or ID card and payment receipt to the designated medical institution where they originally purchased the medicine for refund and re-payment. Relevant expenses will be recorded and settled online. If the medical institution cannot implement refund and re-enrollment settlement, insured patients can provide invoices, expense details, copies of chronic disease prescriptions, bank cards and other materials to the insurance agency for manual reimbursement.

2. Settlement of hospitalization medical expenses. If you are admitted to the hospital during the system switching and downtime, you can pay a deposit and be admitted to the hospital for treatment. The designated medical institution will register the patient information and explain it to the insured patients at the same time. After the system switching is completed and the normal Internet connection is restored, the medical institution will notify you. Bring your medical insurance card or ID card and payment receipt to the original hospital to make up for the expenses. Online reimbursement and settlement will be implemented, and any excess will be refunded and less will be reimbursed. If it is really impossible to make up for the enrollment and then settle the bill under special circumstances, the individual will advance the medical expenses in full. After the system switching is completed, the invoice, expense details, medical record home page, bank card and other materials will be provided to the insured place for manual reimbursement.

3. Coordinate the settlement of expenses for general outpatient clinics. During the system switching and downtime, if the insured person needs to seek medical treatment and purchase medicines at a designated medical institution in a general outpatient clinic, the individual shall pay the full medical expenses in advance. After the system is restored, the insured person will go to the designated medical institution with the medical insurance card or ID card and the receipt of medical treatment and medicine purchase expenses. Perform supplementary settlement.

Registration for medical treatment in other places

1. Filing for medical treatment in other places. During the system switching and downtime, if you need to register for medical treatment in another place, there are two situations: first, if you have not been discharged from the hospital after the system is online and running, you can go through the registration formalities, and the settlement will be made directly at the networked hospital at the place of medical treatment; second, if you have been registered but have not been discharged, If settlement can be made directly online, or if the patient is discharged from hospital and fails to file in time during the downtime, the medical expenses incurred will be paid in full by the insured person, and will be reimbursed manually according to regulations by the medical insurance agency in the insured place.

2. Sporadic reimbursement. When returning to the local medical insurance agency for manual reimbursement according to regulations, you must provide formal charging notes, expense details, discharge records or diagnosis certificates and other relevant materials.

Identification of benefits for outpatient chronic diseases

During the system switching and downtime, outpatient chronic disease declaration materials will be accepted normally, and the identification results will be confirmed centrally after the system switching is completed.

Settlement of long-term care insurance benefits for employees

During the system switching and downtime, applications for long-term care benefits are not restricted by the system, and applications can be submitted normally. If you need to go through the procedures for building a bed or removing a bed, The processing is suspended. After the system is online and restored, the settlement information will be recorded by the designated nursing institution, and settlement will be carried out according to the actual bed construction/bed withdrawal time.

Online office and in-person office business

During the system switch and downtime, online office and in-person office business inquiries and processing will be suspended and will be gradually resumed after the system switch is completed.

Personal account transfer and card swiping consumption business

During the system switching and downtime, personal account transfer business and consumer services such as social security card swiping and medical insurance electronic voucher payment will be suspended. Processing will be gradually resumed after the system switch is completed.

3. Other Matters

During the system switching, insured persons and insured units are required to reasonably arrange the application time for medical insurance business, and make arrangements for drug purchase and medical treatment according to the guidelines of designated medical institutions. If you have any questions, please consult the medical insurance agency.

We apologize for the inconvenience caused by this process.