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Immigrant Visa & HR - China

Question

The Off-site Medical Reimbursement Application Policy in Shanghai

Answer
If the company declares social insurance for an employee in Shanghai, but the employee is resident in other cities, how can he enjoy his/her own medical insurance benefits? Today we will talk about the problems of off-site medical reimbursement application.

Q:
How to apply for the settlement of medical expenses in different places for permanent resident?
A:
The employee should bring his/her ID card (if he/she entrusts someone to do it on his/her behalf, it also need to provide the ID card of the agent), social security card or medical insurance card, and the company’s certificate of assignment to the nearest medical insurance center for medical treatment transfer procedures.

Q:
Can the medical relationship be transfer back to Shanghai after it is transferred?
A:
After the relationship is transferred, it cannot be transferred back within six months.

Q:
After the off-site medical reimbursement application is filed, is it possible to go to the place of residence directly through the medical insurance card?
A:
If hospitalization expenses occur in a remote place, as long as the hospital has a remote settle-ment system, the settlement can be directly made through the medical insurance card.

Q:
If the employee is in an outpatient and emergency medical treatment at his/her usual place of residence, or the hospital where he/she is hospitalized does not have a remote settlement system, how to make settlement?
A:
The employee need to pay in advance. Then take his/her ID card (the ID card of the agent is required to be entrusted by others), medical insurance card, outpatient and emergency medical records, original receipts, medical history data (original and copy), in addition to the above materials, if inpatient medical expenses occur, it must provide the original and photocopy of the discharge summary, the detailed list of hospitalization medical expenses and other materials, and apply for review and reimbursement at the district and county medical insurance affairs centers in this city.

Q:
Is there a time limit for the settlement of related fee?
A: Relevant medical expenses need to apply for reimbursement review within 6 months from the date of issuance of the receipt.

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