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http://www.crankingoutadventure.com/modules/article/view.article.php/342/c7
2025-01-16T03:49:47+16:00
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參保人員異地就醫(yī)明白紙
2023-06-19T14:56:54+16:00
2023-06-19T14:56:54+16:00
2023-06-19T14:56:54+16:00
http://www.crankingoutadventure.com/modules/article/view.article.php/342/c7
hegang
類別: 醫(yī)保指南<br />摘要: 異地就醫(yī)人員分為哪幾類？異地就醫(yī)備案還需要提供證明材料嗎？<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong> 一、異地就醫(yī)人員分為哪幾類？</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-family:宋體; font-size:16px">異地就醫(yī)人員歸為兩大類：<strong>異地長(zhǎng)期居住人員</strong></span><span style="font-family:宋體; font-size:16px">和</span><span style="font-family:宋體; font-size:16px"><strong>臨時(shí)外出就醫(yī)人員</strong></span><span style="font-family:宋體; font-size:16px">。其中異地長(zhǎng)期居住人員包括異地安置退休人員、常駐異地工作人員、外出務(wù)工農(nóng)民、外來(lái)就業(yè)創(chuàng)業(yè)人員；臨時(shí)外出就醫(yī)人員包括轉(zhuǎn)診轉(zhuǎn)院人員，自行外出就醫(yī)人員，因出差、探親、旅游等臨時(shí)在外就醫(yī)人員。</span></p>
<p> </p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong>二、異地就醫(yī)備案還需要提供證明材料嗎？</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-family:宋體; font-size:16px">異地就醫(yī)備案不再需要提供證明材料，</span><strong><span style="font-family:宋體; font-size:16px">異地長(zhǎng)期居住人員</span></strong><span style="font-family:宋體; font-size:16px">不再提供戶籍證明、居住證等證明材料，實(shí)行承諾備案制（個(gè)人承諾異地居住、生活、工作）；</span><strong><span style="font-family:宋體; font-size:16px">臨時(shí)外出就醫(yī)人員</span></strong><span style="font-family:宋體; font-size:16px">備案不再提供轉(zhuǎn)診轉(zhuǎn)院證明或在外就醫(yī)急診證明等證明材料。</span></p>
<p> </p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span><span style="font-size:16px">三、省內(nèi)跨市臨時(shí)就醫(yī)人員還需要備案嗎？</span></strong></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span><span style="font-family:宋體; font-size:16px">省內(nèi)跨市“臨時(shí)外出就醫(yī)人員”</span></strong><span style="font-family:宋體; font-size:16px">住院，普通門診、門診慢特病就醫(yī)</span><span style="font-family:宋體; font-size:16px"><strong>一律取消備案手續(xù)</strong></span><span style="font-family:宋體; font-size:16px">，在就醫(yī)地市所有開通住院、普通門診、門診慢性病聯(lián)網(wǎng)結(jié)算的醫(yī)療機(jī)構(gòu)就醫(yī)費(fèi)用直接聯(lián)網(wǎng)結(jié)算。</span></p>
<p> </p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong>四、異地就醫(yī)人員如何進(jìn)行備案？</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span><span style="font-family:宋體; font-size:16px">（一）線上備案</span></strong></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span><span style="font-family:宋體; font-size:16px">跨省異地長(zhǎng)期居住人員</span></strong><span style="font-family:宋體; font-size:16px">和</span><strong><span style="font-family:宋體; font-size:16px">臨時(shí)外出就醫(yī)人員</span></strong><span style="font-family:宋體; font-size:16px">，可以通過(guò)“國(guó)家醫(yī)保服務(wù)平臺(tái)”APP、“國(guó)家異地就醫(yī)備案”小程序、“濟(jì)寧醫(yī)保”小程序進(jìn)行自助備案。</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-family:宋體; font-size:16px"><span style="font-family:-apple-system,blinkmacsystemfont,helvetica neue,pingfang sc,hiragino sans gb,microsoft yahei ui,microsoft yahei,arial,sans-serif; font-size:14px"><strong><span style="font-family:宋體; font-size:16px">省內(nèi)</span></strong><strong><span style="font-family:宋體; font-size:16px">跨市</span></strong></span><span style="font-family:-apple-system,blinkmacsystemfont,helvetica neue,pingfang sc,hiragino sans gb,microsoft yahei ui,microsoft yahei,arial,sans-serif; font-size:14px"><strong><span style="font-family:宋體; font-size:16px">“異地長(zhǎng)期居住人員”</span></strong></span>，目前可以通過(guò)“濟(jì)寧醫(yī)保”小程序進(jìn)行自助備案。</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-family:宋體; font-size:16px">通過(guò)網(wǎng)辦、掌辦等渠道辦理異地長(zhǎng)期居住備案的，在提交時(shí)勾選《基本醫(yī)療保險(xiǎn)異地就醫(yī)備案?jìng)€(gè)人承諾書》進(jìn)行簽名承諾。</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span><span style="font-family:宋體; font-size:16px">（二）線下備案</span></strong></p>
<p><span style="font-family:宋體; font-size:16px">通過(guò)窗口等其他途徑辦理備案。憑身份證或社?？?、醫(yī)保電子憑證等，可直接申請(qǐng)辦理臨時(shí)外出就醫(yī)備案；辦理異地長(zhǎng)期居住備案的，需在《基本醫(yī)療保險(xiǎn)長(zhǎng)期異地就醫(yī)備案?jìng)€(gè)人承諾書》上簽字，醫(yī)保經(jīng)辦機(jī)構(gòu)留存。</span></p>
<p> </p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong>五、異地長(zhǎng)期居住人員如何取消備案？</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span><span style="font-family:宋體; font-size:16px">異地長(zhǎng)期居住人員辦理備案后在長(zhǎng)期居住地就醫(yī)，享受與參保地就醫(yī)相同的報(bào)銷比例，一次備案長(zhǎng)期有效。</span></strong><span style="font-family:宋體; font-size:16px">在備案的長(zhǎng)期居住地以外就醫(yī)（包括濟(jì)寧當(dāng)?shù)兀凑张R時(shí)外出就醫(yī)政策執(zhí)行。</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-family:宋體; font-size:16px">辦理了“異地長(zhǎng)期居住人員”備案后，在備案有效期內(nèi)（備案未滿6個(gè)月）確需回參保地就醫(yī)的，按以下原則處理：通過(guò)提交備案就醫(yī)地戶籍證明、居住證或單位工作證明等材料，申請(qǐng)將長(zhǎng)期異地就醫(yī)備案變更回參保地的，享受與參保地同等的醫(yī)保待遇；未提供上述有關(guān)證明材料，單純采用個(gè)人承諾方式備案的，按“臨時(shí)外出就醫(yī)人員”醫(yī)保待遇政策執(zhí)行。</span></p>
<p> </p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong>六、異地就醫(yī)還受定點(diǎn)醫(yī)療機(jī)構(gòu)家數(shù)的限制嗎？</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-family:宋體; font-size:16px">異地就醫(yī)（包括異地長(zhǎng)期居住和臨時(shí)外出就醫(yī)人 員）直接備案到就醫(yī)地，不再備案到具體醫(yī)療機(jī)構(gòu)，參保人員可在備案的就醫(yī)地所有開通聯(lián)網(wǎng)的住院和普通門診定點(diǎn)醫(yī)療機(jī)構(gòu)中自主選擇就醫(yī)，并實(shí)現(xiàn)聯(lián)網(wǎng)結(jié)算。取消參保人門診慢特病省內(nèi)跨市異地就醫(yī)定點(diǎn)醫(yī)療機(jī)構(gòu)家數(shù)的限制，門診慢特病跨省聯(lián)網(wǎng)結(jié)算備案的定點(diǎn)醫(yī)療機(jī)構(gòu)家數(shù)，按國(guó)家規(guī)定執(zhí)行。</span></p>
<p> </p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong>七、臨時(shí)外出就醫(yī)人員如何享受待遇？</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-family:宋體; font-size:16px">“臨時(shí)外出就醫(yī)人員</span><span style="font-family:宋體; font-size:16px">”</span><span style="font-family:宋體; font-size:16px">發(fā)生的異地住院、門診慢性病醫(yī)療費(fèi)用，報(bào)銷比例在同級(jí)醫(yī)療機(jī)構(gòu)基礎(chǔ)上降低10%，異地普通門診費(fèi)用執(zhí)行和本地相同的報(bào)銷政策，報(bào)銷比例不降低，一個(gè)年度內(nèi)，參保人員發(fā)生的符合醫(yī)保支付范圍的異地普通門診費(fèi)用與本市普通門診醫(yī)療費(fèi)用累加計(jì)算，達(dá)到最高支付限額的不再納入報(bào)銷。醫(yī)療費(fèi)用無(wú)法聯(lián)網(wǎng)結(jié)算的，住院、普通門診醫(yī)療費(fèi)用回參保地醫(yī)保經(jīng)辦機(jī)構(gòu)報(bào)銷，門診慢性病醫(yī)療費(fèi)用回慢性病定點(diǎn)醫(yī)療機(jī)構(gòu)報(bào)銷，醫(yī)院墊付的異地門診慢性病醫(yī)療費(fèi)用據(jù)實(shí)結(jié)算。</span></p>
<p> </p>
<hr />
<p><span style="font-size:18px"><strong>附：<span style="font-family:system-ui,-apple-system,blinkmacsystemfont,helvetica neue,pingfang sc,hiragino sans gb,microsoft yahei ui,microsoft yahei,arial,sans-serif">“濟(jì)寧醫(yī)保”小程序異地備案操作流程</span></strong></span></p>
<p> </p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">“濟(jì)寧醫(yī)保”小程序升級(jí)后，跨省或省內(nèi)跨市的異地就醫(yī)備案均可辦理；系統(tǒng)設(shè)置為跨省備案、省內(nèi)備案兩個(gè)分項(xiàng)，其中：</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong>跨省備案</strong>可辦理“異地長(zhǎng)期居住備案”、“臨時(shí)外出就醫(yī)備案”兩類；</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong>省內(nèi)備案</strong>可辦理“異地長(zhǎng)期居住備案”；<strong>省內(nèi)臨時(shí)外出就醫(yī)無(wú)需備案</strong>。</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px"><strong>操作流程：</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">1、長(zhǎng)按識(shí)別進(jìn)入“濟(jì)寧醫(yī)保”小程序（首次登錄需授權(quán)，輸入姓名、身份證號(hào)，進(jìn)行人臉識(shí)別。）；</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619144445555486t80ks.jpg" style="height:430px; margin:10px 40px; width:430px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">2、點(diǎn)擊小程序首頁(yè)上方的【異地備案】藍(lán)色圖標(biāo)快捷進(jìn)入；</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619144529896815m78bz.jpg" style="height:833px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">3、根據(jù)實(shí)際情況，選擇備案類型，辦理備案。</span></p>
<p> </p>
<p><span style="font-size:16px"><strong>辦理臨時(shí)外出就醫(yī)備案：</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（1）閱讀辦事指南，點(diǎn)擊【在線辦理】</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/2306191446099008496kuse.jpg" style="height:845px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（2）選擇【跨省備案】，<strong>省內(nèi)臨時(shí)外出就醫(yī)無(wú)需備案</strong></span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619144928411353rgx6j.png" style="height:838px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">選擇【臨時(shí)外出就醫(yī)備案】，點(diǎn)擊【下一步】</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（3）勾選【我已閱讀知曉】，點(diǎn)擊【下一步】</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619144824578735d34b0.png" style="height:814px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（4）填寫備案的起始時(shí)間、終止時(shí)間、就醫(yī)地、聯(lián)系人、聯(lián)系電話等“*”必填信息，點(diǎn)擊【提交】</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619145009864857d3mno.png" style="height:826px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（5）提交成功，<strong>備案即時(shí)完成。</strong></span></p>
<p> </p>
<p><span style="font-size:16px"><strong>辦理異地長(zhǎng)期居住備案：</strong></span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（1）閱讀辦事指南，點(diǎn)擊【在線辦理】</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619145122564575gbz9m.jpg" style="height:845px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（2）選擇【跨省備案】或【省內(nèi)備案】</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619145217222403gxsys.png" style="height:795px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">選擇【異地長(zhǎng)期居住備案】，點(diǎn)擊【下一步】</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（3）勾選【我已閱讀知曉】，點(diǎn)擊【下一步】</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619145250618544877is.png" style="height:792px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（4）填寫備案的起始時(shí)間、就醫(yī)地、聯(lián)系人、聯(lián)系電話等“*”必填信息，點(diǎn)擊【下一步】</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/23061914530967212026dcy.png" style="height:879px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">備案起始時(shí)間最多可提前5天。</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">終止時(shí)間非必填項(xiàng)。參保人根據(jù)實(shí)際選擇填寫，如未填，系統(tǒng)默認(rèn)長(zhǎng)期有效。</span></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（5）查看《基本醫(yī)療保險(xiǎn)異地長(zhǎng)期居住備案?jìng)€(gè)人承諾書》內(nèi)容，確認(rèn)無(wú)誤后點(diǎn)選【本人承諾：……】，點(diǎn)擊【提交】</span></p>
<p><img alt="" src="http://www.crankingoutadventure.com/uploads/ckfinder/images/2023/06/230619145349816247hjamg.png" style="height:817px; margin:10px 40px; width:400px" /></p>
<p><strong><span style="font-family:微軟雅黑,sans-serif"> </span></strong><span style="font-size:16px">（6）提交成功，<strong>備案即時(shí)完成</strong>。</span></p>
<p> </p>
<p><span style="font-size:16px"><strong><span style="font-family:微軟雅黑,sans-serif"> 查詢備案信息：</span></strong></span></p>
<p><span style="font-size:16px"> 在小程序“首頁(yè)”頁(yè)面，點(diǎn)擊辦事大廳區(qū)的【我要評(píng)價(jià)】，進(jìn)入【事項(xiàng)進(jìn)度】頁(yè)面，即可查詢備案信息并對(duì)辦結(jié)事項(xiàng)評(píng)價(jià)。</span></p>
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