1, * * * economic payment: refers to the family * * * economic funds used to pay out-of-pocket medical expenses in the medical insurance settlement order of * * economic members. * * * The self-funded medical expenses incurred by economic members in designated medical institutions, if they are occupational insurance personnel, must be paid by the surplus funds in personal accounts over the years. After the surplus funds in personal accounts are used up, they can be paid by family * * * economic funds according to regulations; If it is a medical insurance worker for urban and rural residents, because there is no personal account, it can be paid directly with family funds.
2.* * * Payment: means that * * * members use family funds to pay the basic medical insurance premiums for urban and rural residents and purchase exclusive products for commercial health insurance in this city.
Medical insurance families need to bring relevant documents and materials to the social security (medical insurance) handling service hall or the nearest district/county street (township) social security office, or through the mobile phone of the mobile phone medical insurance APP. Employees' medical insurance families need the authorized person and the authorized person to participate in basic medical insurance at the same time, and the medical security benefits are normal, so that they can enjoy the use of family personal accounts. At the same time, families can only use the balance of personal accounts over the years, and cannot use the medical insurance pooling fund that the authorized person participates in.
legal ground
Regulations on the supervision and administration of the use of medical insurance funds
Fourteenth designated medical institutions shall establish an internal management system for the use of medical security funds, and specialized agencies or personnel shall be responsible for the management of the use of medical security funds, and establish and improve the evaluation system. Designated medical institutions shall organize training on relevant systems and policies of medical security funds, regularly check the use of medical security funds of their own units, and promptly correct the irregular use of medical security funds.
Seventeenth insured medical treatment and drug purchase should hold my medical insurance certificate, and take the initiative to produce for inspection. Insured persons have the right to require designated medical institutions to truthfully issue expense documents and related materials.
Insured personnel should properly keep medical insurance certificates to prevent others from using them. If it is necessary to entrust others to buy drugs for special reasons, the identity certificates of the principal and the trustee shall be provided. Insured persons shall enjoy medical security benefits according to regulations and shall not enjoy them repeatedly.
Nineteenth insured persons shall not take advantage of the opportunity to enjoy medical security benefits to resell drugs, accept cash or physical return or obtain other illegal benefits.