成都医保：异地就医备案与门诊报销

Chengdu Medical Insurance: Out-of-Town Filing and Outpatient Reimbursement

天府之国核心、大熊猫故乡与世界美食之都，慢生活与高新技术交相辉映。。医保备案是异地看病能不能直接刷医保卡的前提，基本医疗保险待遇享受、异地就医备案与个人账户共济这一步在 成都 线上几分钟就能完成，但材料、时限、报销比例有明确口径。下面把承办机构、窗口、条件和流程写清楚。

Core of the Land of Abundance, hometown of giant pandas and World Food City, where slow living complements high-tech innovation. Medical insurance filing is the prerequisite for directly using your medical insurance card for out-of-town care. Enjoying basic medical insurance benefits, completing out-of-town medical filing, and setting up account mutual aid can be done online in just a few minutes in Chengdu, but there are clear rules on required documents, processing time limits, and reimbursement ratios. Below we lay out the handling authority, window locations, conditions, and procedures.

一、先说结论：基本医疗保险待遇享受、异地就医备案与个人账户共济怎么办

1. Conclusion First: How to Enjoy Basic Medical Insurance Benefits, File Cross-City Treatment, and Set Up Account Family Mutual Use

成都市基本医疗保险由城镇职工基本医疗保险与城乡居民基本医疗保险两大体系构成。参保人凭手机「国家医保电子凭证」（医保码）在全市数千家定点医院与药店实现脱卡刷码结算；职工医保个人账户余额支持与父母、配偶、子女进行家庭共济绑定；异地就医线上备案后直接联网结算。

The Chengdu Basic Medical Insurance system comprises two pillars: Employee Basic Medical Insurance and Urban-Rural Residents' Basic Medical Insurance. With the National Healthcare Security Electronic Certificate (code) displayed on their phone, insured persons can scan to settle bills cashlessly at thousands of designated hospitals and pharmacies citywide; employee medical insurance personal accounts can be linked to parents, spouses, and children for family mutual-use sharing; and cross-city medical treatment filed online enables direct networked settlement.

二、谁来办，电话怎么打

2. Who Handles It, How to Call

医疗保障基金监管与报销经办由成都市医疗保障局统筹负责。表中联系电话经官方核实，市医保中心经办窗口热线为 028-87706512，全国统一医疗保障服务热线为 12393，工作日 09:00-17:00 受理报销咨询。

Medical security fund supervision and reimbursement administration are coordinated by the Chengdu Healthcare Security Administration. The contact numbers listed below have been verified by official sources: the hotline at the city medical insurance center service window is 028-87706512, and the nationwide healthcare security service hotline is 12393, available on working days from 09:00 to 17:00 for reimbursement inquiries.

三、去哪个窗口办，几点开门

3. Which counter to use and what are the opening hours

成都市政务服务中心草市街大厅与成都市医保服务大厅（青羊区二环路西一段 139 号）及各区政务中心医保综合窗口均可办理手工报销；日常异地备案与账户共济全流程在“天府市民云”APP 或“国家医保服务平台”掌上办结。

Manual reimbursement can be processed at the Caoshijie Hall of the Chengdu Government Service Center, the Chengdu Medical Insurance Service Hall (139 Erhuanlu West Section 1, Qingyang District), and medical insurance comprehensive windows at government service centers across all districts. Routine cross-city filings and account mutual-use setup can be completed entirely via the Tianfu Citizens Cloud app or the National Medical Security Service Platform.

四、谁能办（受理条件）

IV. Who Can Apply (Acceptance Conditions)

先对照下面几条确认自己符合，再去窗口，能省掉一次白跑。条件以官方办事指南原文为准。

Check the conditions below first to confirm you qualify before heading to the counter — this saves a wasted trip. Eligibility criteria are subject to the official service guide.

• 按规定在成都市连续足额缴纳城镇职工基本医疗保险费并处于待遇享受期内的在职职工与退休人员。
• 按年度缴纳成都市城乡居民基本医疗保险费并按时享受待遇的城乡居民、在校中小学生及婴幼儿。
• 长期异地居住、常驻异地工作或异地转诊转院治疗的成都市参保人员。
• In-service employees and retirees who have paid the Employee Basic Medical Insurance premiums in Chengdu continuously and in full and are currently in the benefit-eligibility period, subject to applicable regulations.
• Urban and rural residents, school-age children and students, and infants and young children who pay the Urban-Rural Residents' Basic Medical Insurance premiums annually in Chengdu on time and enjoy corresponding benefits, subject to applicable regulations.
• Chengdu insured persons residing long-term outside the city, working permanently outside the city, or referred/transferred for medical treatment outside the city.

五、带什么材料

V. What Documents to Bring

材料一次带齐是办事效率的关键。下面按「原件 / 复印件 / 需现场填写」分开列，缺一项就可能被退回补正。

Bringing all required documents at once is key to efficient processing. They are listed below by category — original / photocopy / to be filled out on-site — and missing even one item may result in your application being returned for correction.

• 参保人有效二代居民身份证原件或国家医保电子凭证（医保码）。
• 手工报销需提供医院出具的住院费用收费票据原件、费用汇总清单、出院诊断证明书盖章原件。
• 家庭账户共济绑定提供家庭成员二代居民身份证号与亲属关系承诺书（手机端在线签署）。
• Original valid second-generation resident ID card of the insured person, or the National Healthcare Security Electronic Certificate (code).
• Manual reimbursement requires the original inpatient fee receipt issued by the hospital, the cost summary list, and the stamped original discharge diagnosis certificate.
• Family account mutual-aid binding requires family members' second-generation resident ID card numbers and a kinship commitment letter (signed online via mobile).

六、办理流程

VI. Processing Procedure

1. 第一步（激活医保码）：在微信、支付宝或“天府市民云”APP 搜索【医保码】，人脸识别认证激活国家医保电子凭证。
2. 第二步（门诊家庭共济）：职工医保参保人登录四川医保微信小程序，点击【个人账户共济绑定】，添加父母或子女身份证号，实现全家共用医保账户余额买药看门诊。
3. 第三步（异地就医备案）：若需赴外省看病，在“国家医保服务平台”点击【异地备案】，选择就医地城市与备案类型（异地长期居住或临时就医），提交后即时生效。
4. 第四步（医院刷码直报）：在定点医疗机构挂号就诊结账时，出示医保码，医保系统自动扣减医保报销金与个人账户金，患者仅需刷卡支付自负差额。
5. Step 1 (Activate Medical Insurance Code): Search for [Medical Insurance Code] in WeChat, Alipay, or the 'Tianfu Citizen Cloud' APP, then activate the national medical insurance electronic voucher via facial-recognition authentication.
6. Step 2 (Outpatient Family Mutual-Aid): Employee medical-insurance participants log into the Sichuan Medical Insurance WeChat mini program, click [Personal Account Mutual-Aid Binding], add parents' or children's ID numbers, and enable the whole family to share the medical-insurance account balance for buying medicines and visiting clinics.
7. Step 3 (Out-of-Province Medical-Treatment Registration): If you need care in another province, click [Out-of-Area Registration] on the 'National Medical Insurance Service Platform', select the destination city and registration type (long-term residence or temporary treatment), and it takes effect immediately upon submission.
8. Step 4 (Hospital Code-Scan Direct Settlement): When registering, seeing a doctor, and checking out at designated medical institutions, present the medical insurance code; the system automatically deducts the reimbursement amount and personal-account funds, with the patient paying only the remaining balance by card.

出差或旅游去省外就医，千万别忘了【先备案再结算】！在国家医保服务平台 APP 花 2 分钟提交异地就医直接结算备案，备案成功后在异地联网三甲医院刷医保码直接享受医保报销抵扣，免去垫付大额住院医药费再拿回成都漫长手工报销的麻烦！

When traveling or on business trips for medical treatment out of province, don't forget to [register first, settle later]! Spend 2 minutes on the National Medical Insurance Service Platform APP to file an out-of-area direct-settlement registration. After approval, scan your medical insurance code at networked tier-3 hospitals to receive reimbursement deductions on the spot, skipping the bother of fronting large inpatient bills and then enduring a long manual-reimbursement process back in Chengdu!

七、多久办完、要花多少钱

7. Processing time and cost

八、属地窗口

VIII. Local-Service Windows

多数事项可以就近在属地窗口办。下面是 成都 各窗口的地址与电话，出发前建议先电话确认该窗口是否办理本事项。

Most matters can be handled at your local service window. Below are the addresses and phone numbers for windows across Chengdu; we recommend calling ahead before heading out to confirm whether that specific window handles your matter.

九、常用政务热线

9. Common Government Service Hotlines

不确定归哪个部门、或者窗口电话打不通，直接打下面的热线。以下热线均为全国统一号码，成都 同样适用。

If you're unsure which department is responsible or can't get through to the window by phone, call one of the hotlines below. All of the following are national toll-free numbers and are also valid in Chengdu.

十、常见问题

X. Frequently Asked Questions