芒果少女 发表于 2023-6-12 10:40:44

绵阳1849家定点医药机构接入接入异地就医直接结算平台啦!内附相关问题解答。

<section class="mp_profile_iframe_wrp" style="margin-bottom: 0px;"><mp-common-profile class="js_uneditable custom_select_card mp_profile_iframe" data-pluginname="mpprofile" data-id="Mzg4Nzc3NDA3NQ==" data-headimg="http://bbs.xishuw.com/plugin.php?id=wcn_editor:wx_img&url=http://mmbiz.qpic.cn/mmbiz_png/yneMS8o1iceOy9IEc3U8mlFn2yia1hEWn3ngE7GXc1aNmwBcicuh9dARgOnKlSMsDBS6SUKW9LuaQ0eByamiaCILcA/0?wx_fmt=png" data-nickname="绵阳发布" data-alias="fabumianyang" data-signature="中国科技城 成渝副中心" data-from="0" data-is_biz_ban="0"></mp-common-profile></section><p><section powered-by="xiumi.us" style="white-space: normal;text-align: center;box-sizing: border-box;margin-bottom: 0px;"><section style="outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></section><section data-role="outer" label="edit by 135editor"><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-tools="135编辑器" data-id="127888"><section style="margin: 10px auto;background-color: rgb(214, 233, 255);border-radius: 10px 10px 0px 0px;"><section style="background-color: rgb(241, 246, 252);padding: 15px 10px;border-radius: 10px 10px 0px 0px;"><section style="padding-top: 8px;"><section data-autoskip="1" style="line-height: 1.75em;letter-spacing: 1.5px;font-size: 14px;color: #303030;background-color: transparent;"><section data-tools="135编辑器" data-id="121267" style="margin-bottom: 0px;color: rgb(48, 48, 48);font-size: 14px;letter-spacing: 1.5px;text-align: center;white-space: normal;background-color: rgb(241, 246, 252);"><section style="margin: 10px auto;padding-right: 10px;"><section style="background-color: rgb(238, 251, 255);"><section style="padding: 15px;background-color: rgb(255, 255, 255);border-width: 1px;border-style: solid;border-color: rgb(114, 188, 211);transform: translate(5px, -5px);"><section style="line-height: 1.75em;color: rgb(51, 51, 51);background: transparent;"><section data-autoskip="1"><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="background-color: transparent;caret-color: red;font-size: 17px;font-family: Helvetica, Arial, sans-serif;">近年来,绵阳将异地就医直接结算作为深化医疗保障制度改革的重点任务,从扩大覆盖度、加快就医速度、提升报销力度三个方面着手,全力推进异地就医。</span></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><br/></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 17px;line-height: 1.65em;font-family: Helvetica, Arial, sans-serif;">截至目前,全市<span style="color: rgb(253, 123, 51);"><strong>1849家</strong></span>定点医药机构接入异地就医直接结算平台,<span style="color: rgb(253, 123, 51);"><strong>1337家</strong></span>接入跨省平台,<span style="color: rgb(253, 123, 51);"><strong>303家</strong></span>实现跨省门诊费用直接结算。</span></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><br/></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">2022年,绵阳作为参保地结算</span><span style="font-size: 17px;line-height: 1.65em;font-family: Helvetica, Arial, sans-serif;color: rgb(253, 123, 51);"><strong>100.92万人次</strong></span><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">、医疗总费用</span><span style="font-size: 17px;line-height: 1.65em;font-family: Helvetica, Arial, sans-serif;color: rgb(253, 123, 51);"><strong>9.57亿元</strong></span><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">、基金支付</span><span style="font-size: 17px;line-height: 1.65em;font-family: Helvetica, Arial, sans-serif;color: rgb(253, 123, 51);"><strong>5.22亿元</strong></span><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">;作为就医地结算</span><span style="font-size: 17px;line-height: 1.65em;font-family: Helvetica, Arial, sans-serif;color: rgb(253, 123, 51);"><strong>162.66万人次</strong></span><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">、医疗总费用</span><span style="font-size: 17px;line-height: 1.65em;font-family: Helvetica, Arial, sans-serif;color: rgb(253, 123, 51);"><strong>9.52亿元</strong></span><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">、基金支付</span><span style="font-size: 17px;line-height: 1.65em;font-family: Helvetica, Arial, sans-serif;color: rgb(253, 123, 51);"><strong>5.95亿元</strong></span><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">。</span></section></section></section></section></section></section></section><p style="margin-bottom: 0px;color: rgb(48, 48, 48);font-size: 14px;letter-spacing: 1.5px;text-align: center;white-space: normal;background-color: rgb(241, 246, 252);line-height: 2em;"><br/></p><p style="text-align: center;margin-bottom: 0px;line-height: 2em;"><strong><span style="color: rgb(52, 103, 217);font-size: 17px;background-color: transparent;caret-color: red;font-family: Helvetica, Arial, sans-serif;">日前,</span></strong><strong style="background-color: transparent;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><span style="color: rgb(52, 103, 217);"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">绵阳举行</span></span></strong></p><p style="text-align: center;margin-bottom: 0px;line-height: 2em;"><strong style="background-color: transparent;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><span style="color: rgb(52, 103, 217);"><span style="font-size: 17px;background-color: transparent;caret-color: red;font-family: Helvetica, Arial, sans-serif;">2023年</span></span></strong><strong style="background-color: transparent;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><span style="color: rgb(52, 103, 217);"><span style="font-size: 17px;background-color: transparent;caret-color: red;font-family: Helvetica, Arial, sans-serif;">绵阳市异地就医直接结算</span></span></strong></p><p style="text-align: center;margin-bottom: 0px;line-height: 2em;"><strong style="background-color: transparent;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><span style="color: rgb(52, 103, 217);"><span style="font-size: 17px;background-color: transparent;caret-color: red;font-family: Helvetica, Arial, sans-serif;">政策</span></span></strong><strong style="background-color: transparent;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;color: rgb(52, 103, 217);">集中宣传月启动仪式</span></strong></p><p style="text-align: center;margin-bottom: 0px;line-height: 2em;"><strong style="background-color: transparent;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;color: rgb(52, 103, 217);">暨业务培训会</span></strong></p><p style="text-align: center;margin-bottom: 0px;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;background-color: transparent;">旨在进一步提升群众对</span></p><p style="text-align: center;margin-bottom: 0px;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;background-color: transparent;">异地就医直接结算</span><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;"></span><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;">政策的知晓度</span></p><p style="text-align: center;margin-bottom: 0px;line-height: 2em;"><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;">扎实推进异地就医直接结算工作落实</span></p><p style="text-align: center;margin-bottom: 0px;line-height: 2em;"><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;">持续推动医保惠民政策落地见效</span></p><section style="text-align: center;margin-bottom: 0px;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;background-color: transparent;"><br/></span></section><section style="text-align: center;margin-bottom: 0px;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;background-color: transparent;">异地就医直接结算</span><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;">对每一名</span></section><section style="text-align: center;margin-bottom: 0px;line-height: 2em;"><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;">有外出就医需求的参保人</span><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;">有着重要影响</span></section><section style="text-align: center;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-size: 17px;font-family: Helvetica, Arial, sans-serif;">那么,</span><span style="background-color: transparent;color: rgb(38, 38, 38);font-size: 17px;font-family: Helvetica, Arial, sans-serif;">对于异地就医直接结算</span></section><section style="text-align: center;line-height: 2em;"><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;">你了解</span><span style="background-color: transparent;color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;">多少?</span></section><section style="text-align: center;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-family: Helvetica, Arial, sans-serif;font-size: 17px;background-color: transparent;">具体该如何操作?</span></section><section style="text-align: center;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-size: 17px;font-family: Helvetica, Arial, sans-serif;">需要哪些手续?</span></section><section style="text-align: center;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><br/></span></section><p style="text-align:center;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-size: 17px;font-family: Helvetica, Arial, sans-serif;">绵小布都为你打听清楚了</span></p><p style="text-align:center;line-height: 2em;"><span style="color: rgb(38, 38, 38);font-size: 17px;font-family: Helvetica, Arial, sans-serif;caret-color: red;"></span></p><section data-tools="135编辑器" data-id="124018" style="white-space: normal;"><section style="margin: 10px auto;text-align: center;"><section style="display: inline-block;transform-style: preserve-3d;"><section style="margin-bottom: -4px;width: 18px;height: 3px;background-color: rgb(114, 188, 211);overflow: hidden;transform: translateZ(10px);"><br/></section><section style="padding: 7px 25px;background-color: rgb(245, 248, 255);border-width: 1px;border-style: solid;border-color: rgb(114, 188, 211);"><section style="font-size: 16px;color: #72bcd3;transform: translateZ(5px);-webkit-transform: translateZ(5px);-moz-transform: translateZ(5px);-o-transform: translateZ(5px);"><span style="color: rgb(0, 145, 156);font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">异地就医直接结算政策问答</strong></span></section></section><section style="margin-top: -8px;display: flex;justify-content: flex-end;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 7px;height: 7px;background-color: rgb(114, 188, 211);overflow: hidden;"><br/></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">一、什么是异地就医?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="text-align:justify;line-height: 2em;"><span style="background-color: transparent;caret-color: red;font-size: 17px;font-family: Helvetica, Arial, sans-serif;">四川省基本医疗保险目前实行市级统筹,21个市(州)加上省本级一共是22个统筹区,参保人在哪个统筹区买的基本医疗保险,哪里就是参保地。</span></p><p><br/></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">参加基本医疗保险的参保人,到参保地以外的医保定点医药机构就医购药,就属于异地就医,包括省内异地就医和跨省异地就医。</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">二、异地就医如何结算?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="line-height: 2em;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong><span style="background-color: transparent;caret-color: red;">1.直接结算</span></strong></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">参保人员在异地联网定点医药机构就医购药时,通过出示医保电子凭证或社保卡进行费用直接结算,只需支付个人负担的医药费用,医保支付费用由医保部门与医药机构结算。</span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>2.手工结算</strong><br style="outline: 0px;"/>参保人员因故无法直接结算的,可以个人全额垫付后回参保地申请手工报销。</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">三、异地就医时,哪些医疗类型可以直接结算?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="line-height: 2em;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong><span style="background-color: transparent;caret-color: red;">省内:</span></strong><span style="background-color: transparent;caret-color: red;">住院、普通门诊、药店购药、门诊慢特病</span></span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>跨省:</strong>住院、普通门诊、药店购药、五个门诊慢特病(高血压、糖尿病、恶性肿瘤门诊放化疗、尿毒症透析、器官移植术后抗排异治疗)</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">四、哪些人员可以办理异地就医直接结算?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong><span style="background-color: transparent;caret-color: red;">(一)异地长期居住人员:<br/></span></strong><span style="background-color: transparent;caret-color: red;">1.异地安置退休人员;2.异地长期居住人员;3.常驻异地工作人员。<br/></span></span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>(二)临时外出就医人员:<br/></strong>1. 异地转诊就医人员;2.因工作、旅游等原因异地急诊抢救人员;3.其他临时外出就医人员。</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">五、异地就医直接结算如何操作?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="text-align:justify;line-height: 2em;"><span style="background-color: transparent;caret-color: red;font-size: 17px;font-family: Helvetica, Arial, sans-serif;">符合办理异地就医直接结算条件的参保人员,异地就医时,一般遵循“先备案-选定点-持码(卡)就医”的流程。</span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>1.先备案</strong></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong><br style="outline: 0px;"/></strong>异地就医前需要先在参保地医保经办机构办理备案,也就是要提前告知你的参保地。</span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><br style="outline: 0px;"/>办理异地就医备案主要有以下<strong>三种途径</strong>:</span></p><ul class=" list-paddingleft-2" style="list-style-type: disc;"><li><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">第一种是到参保地医保经办服务大厅现场办理;</span></p></li><li><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">第二种是通过四川医保APP、四川医保公共服务网上服务大厅进行线上办理;</span></p></li><li><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">第三种是通过国家医保服务平台APP、国家异地就医备案小程序、国务院客户端小程序进行线上办理跨省异地就医备案。</span></p></li></ul><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>备案途径怎么选?</strong>第一、二种途径可以办理省内和跨省异地就医备案。第三种途径只能办理跨省异地就医备案。</span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>备案地怎么选?</strong>参保人员申请异地就医备案时,只需直接备案到就医地市或直辖市,到海南、西藏等省级统筹地区和新疆生产建设兵团就医的,直接备案到就医省和新疆生产建设兵团。</span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><br/></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>备案多久可办结?</strong>通过现场办理方式可即时办结;通过线上渠道办理的,最长不超过2个工作日可查询办理结果。</span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><br/></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>哪些情况无需备案?</strong>异地普通门诊就医和药店购药无需备案可享受直接结算服务。异地急诊抢救人员无需备案,视同已备案。</span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><br/></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>2.选定点</strong></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong><br/></strong></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">参保人员备案后在异地就医时,要选择当地开通了异地联网结算的定点医药机构才可以直接结算。</span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><strong><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">如何查询开通了异地联网结算的定点医药机构?</span></strong><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">可在国家医保服务平台APP-异地备案-查询服务查询。</span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><br/></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>3.持码(卡)就医</strong></span></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong><br style="outline: 0px;"/></strong>备案成功的参保人员,在开通了异地联网结算的定点医药机构就医购药时,需要持医保电子凭证或社保卡直接结算医药费用。</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">六、办理异地就医备案后有效期是多久?异地长期居住人员回参保地就医还能报销吗?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong><span style="background-color: transparent;caret-color: red;">1.</span></strong><span style="background-color: transparent;caret-color: red;">异地长期居住人员办理登记备案后,未申请变更备案信息或参保状态未发生变更的,备案长期有效。即</span><strong><span style="background-color: transparent;caret-color: red;">异地长期居住“一次备案、长期有效”。</span></strong><span style="background-color: transparent;caret-color: red;"><br/></span></span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>2.</strong>临时外出就医人员办理登记备案后,半年内有效,备案有效期内可在就医地多次就诊并享受异地就医直接结算服务,不需要就诊一次备案一次。即<strong>临时外出就医“一次备案、半年有效”。</strong></span></p><p><br/></p><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>3.</strong>异地长期居住人员在备案有效期内确需回参保地就医的,<strong>可在备案地和参保地双向享受医保待遇。</strong></span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">七、异地就医入院前未办理备案怎么办?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong><span style="background-color: transparent;caret-color: red;">一种方式是补备案后联网直接结算:</span></strong><span style="background-color: transparent;caret-color: red;line-height: 1.65em;">参保人员需要在出院结算前联系参保地补办异地就医备案,并且补办备案登记的起始时间要选择在当次入院时间前,就医地联网定点医疗机构应为参保人员办理医疗费用直接结算。</span></span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>一种方式是自费结算后申请手工报销:</strong>参保人员自费结算出院的,可补办备案登记手续后按参保地规定申请医保手工报销。</span></p></section></section></section></section></section><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">八、异地就医结算的报销政策是什么?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong style="background-color: transparent;caret-color: red;">跨省和省内异地就医直接结算,</strong><span style="background-color: transparent;caret-color: red;">执行“就医地目录、参保地政策”;</span></span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>跨省和省内异地就医手工报销,</strong>执行“参保地目录、参保地政策”;</span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">简单来说,异地就医直接结算时,医保哪些能报,按照就医地的规定,但是报销比例是多少,最高能报多少,按照参保地的规定;如果是在参保地申请手工报销,则都按照参保地的规定执行。</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">九、外伤医疗费用能异地就医直接结算吗?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="text-align:justify;line-height: 2em;"><span style="background-color: transparent;caret-color: red;font-size: 17px;font-family: Helvetica, Arial, sans-serif;">符合就医地管理规定的无第三方责任外伤医疗费用,在参保人员填写《外伤无第三方责任承诺书》后,可纳入异地就医直接结算范围。</span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>温馨提示:</strong>应由第三方负担的或应当从工伤保险基金中支付的外伤医疗费用不能纳入医保报销。</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">十、异地就医单行支付和高值药品能直接结算吗?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="line-height: 2em;text-align: justify;"><span style="background-color: transparent;caret-color: red;font-size: 17px;font-family: Helvetica, Arial, sans-serif;">可以。</span></p><br style="outline: 0px;"/><p style="text-align:justify;line-height: 2em;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;">在省内异地就医,可直接结算单行支付药品和高值药品费用,不用垫资和往返跑路。如果是在省外异地就医,按照跨省异地就医直接结算政策执行。</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section data-tools="135编辑器" data-id="121265"><section style="margin: 10px auto;transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="background-color: rgb(114, 188, 211);font-size: 16px;color: rgb(255, 255, 255);padding: 5px 15px;text-align: justify;"><span style="font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong data-brushtype="text">十一、异地就医直接结算中遇到问题怎么办?</strong><strong data-brushtype="text"></strong></span></section></section><section style="background-color: rgb(238, 251, 255);padding: 10px;margin-top: -20px;transform: translateZ(5px);"><section style="background-color: rgb(255, 255, 255);padding: 30px 15px 15px;"><section data-autoskip="1" style="line-height: 1.75em;color: #333333;background: transparent;"><p style="text-align:justify;line-height: 2em;"><span style="background-color: transparent;caret-color: red;font-size: 17px;font-family: Helvetica, Arial, sans-serif;">异地就医直接结算中遇到问题由医药机构处理,必要时联系医保经办机构协助处理,请注意留存出现问题时系统报错的提示图片。</span></p></section></section></section></section></section><p style="text-align:center;line-height: 2em;"><br/></p><section style="margin-bottom: 0px;color: rgb(48, 48, 48);font-size: 14px;letter-spacing: 1.5px;text-align: center;white-space: normal;background-color: rgb(241, 246, 252);line-height: 2em;"><strong style="color: rgb(0, 128, 255);font-family: Helvetica, Arial, sans-serif;font-size: 17px;background-color: transparent;">四川省医保异地就医政策咨询</strong></section><p style="text-align:center;line-height: 2em;"><span style="color: rgb(0, 128, 255);font-size: 17px;font-family: Helvetica, Arial, sans-serif;"><strong>和报错处理联系电话</strong></span></p><p style="text-align:center;line-height: 2em;"><span style="color: rgb(0, 128, 255);font-size: 17px;font-family: Helvetica, Arial, sans-serif;"></span></p><section data-role="outer" label="edit by 135editor"><p><br/></p><p></p><p></p><p></p><p></p></section></section></section></section></section></section></section></section></section></section></p><link rel="stylesheet" href="http://bbs.xishuw.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v133_qf1" id="wcn_editor_css"/>

乐乐妈妈酱 发表于 2023-6-12 11:16:42

这个可以帮很多人解决问题啊

爱你呀! 发表于 2023-6-12 11:17:00

看病不再是难事了

杳无音讯 发表于 2023-6-12 11:17:20

这个要大力推广呢

小汝大雅 发表于 2023-6-12 13:20:01

利民便民

小汝大雅 发表于 2023-6-12 13:20:14

方便多了

吴桐树 发表于 2023-6-13 07:30:10

成都,遂宁等地在省内就医去年都无需备案,报銷和参保地一样,绵阳科学城还要备案太不给病人方便了!

吴桐树 发表于 2023-6-13 07:22:44

应该在省内看病取销备案,看病与参保地待遇一样,拿着社保就可看病!
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查看完整版本: 绵阳1849家定点医药机构接入接入异地就医直接结算平台啦!内附相关问题解答。