北京市异地就医结算及相关信息查询指南
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">北京市异地就医结算及相关信息查询指南</strong></p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">北京参保人员申请异地就医备案成功后，在异地就医发生的医疗费用，将通过以下两种方式结算：</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">1、持社保卡或电子医保凭证在<span style="color: #6d67ff; box-sizing: border-box;">已开通</span>异地就医直接结算功能的医保定点医院就医，医疗费用直接实时结算。</p>
<p style="margin: 0px; padding: 0px; box-sizing: border-box;">2、持社保卡或电子医保凭证在<span style="color: #6d67ff; box-sizing: border-box;">未开通</span>异地就医直接结算功能的医保定点医院就医或新参保人员在领取北京社保卡之前发生的异地就医费用，需参照<a href="https://www.fasco.com.cn/article-detail?id=159" target="_blank" rel="noopener"><span style="text-decoration-line: underline; color: #6d67ff; box-sizing: border-box;">医保手工报销办理指南</span></a>（点击查看）保留好原始材料，通过北京FASCO进行医保手工报销。</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;"><strong style="box-sizing: border-box;"> 温馨提示 ·</strong></span></p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">1、异地就医可结算的基本医疗保险药品、医疗服务设施和诊疗项目范围按照就医地医保政策执行；报销金额起付线、报销比例和报销上限等按照北京市医保政策执行。</p>
<p style="margin: 0px; padding: 0px; box-sizing: border-box;">2、未进行异地就医备案或未完成备案的北京市参保人员，在异地发生的医疗费用<strong style="box-sizing: border-box;"><span style="color: #d42426; box-sizing: border-box;">不予报销</span></strong>。</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">如何查询？</strong></p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">那么如何查询异地就医城市及医院是否开通直接结算功能呢？查询步骤如下：</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">01</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">打开国家医保服务平台平台，点击异地就医-住院查询-统筹区开通情况查询。</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">02</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">选择就医城市后将直接显示就医地开通情况</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">❌ 如“就医地开通标志”项显示未开通，则该就医地不能直接结算。</p>
<p style="margin: 0px; padding: 0px; box-sizing: border-box;">✔ 如“就医地开通标志”项显示已开通，同时“住院/门诊开通标志”项后显示已开通的项目可以直接结算，显示未开通的项目则需通过北京FASCO申请医保手工报销。</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">03</p>
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<p style="margin: 0px; padding: 0px; box-sizing: border-box;">2、点击“住院查询”/“门诊查询”-“异地联网 定点医疗机构查询”，查询就医地指定医院是否支持直接结算。</p>
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