The scope of use of medical insurance cards mainly includes the following three aspects:
1, used to buy medicine: when the insured buys medicine at the designated pharmacy, they can pay with the medical insurance card.
2. Used for reimbursement: If you go to the hospital for medical treatment, whether it is outpatient or inpatient, you can use the medical insurance card for reimbursement if it reaches the medical insurance deductible line and is within the scope of medical insurance reimbursement.
3. Medical expenses: When the participants are sick, they can register with the designated hospital with the medical insurance card and medical insurance manual. The main process is as follows: holding the medical insurance manual and medical insurance card-registering with the hospital medical insurance office-reviewing the card-paying the hospitalization deposit-hospitalization-the patient agrees to the self-funded project and signs it-cash or medical insurance card.
The following six categories of expenses cannot be reimbursed according to regulations:
1, purchased from non-designated retail pharmacies;
2. Expenses for injuries caused by traffic accidents, medical accidents or other accidents;
3, because I take drugs, fighting or other illegal acts caused by the cost of injury;
4, due to suicide, alcoholism and other reasons for the treatment costs;
5. Expenses for treatment abroad or in Hongkong, Macao Special Administrative Region and Taiwan Province Province;
6. According to the medical insurance regulations, some self-funded projects, such as dental restoration, cannot be reimbursed. Dental planting, filling and tooth cleaning are all at their own expense.