How to use the employee medical insurance clinic?

The use of medical insurance outpatient service for employees is as follows:

1. Workers go to designated hospitals and directly use medical insurance cards to settle outpatient expenses;

2, in line with the basic medical insurance drug list, diagnosis and treatment projects, medical service facilities standards of medical expenses, paid by the basic medical insurance fund;

3, emergency and rescue medical expenses are also paid by the basic medical insurance fund according to state regulations;

4. The self-funded part is paid by the employee himself and cannot be reimbursed.

Advantages of medical insurance outpatient service for employees:

1, reducing the burden: the employee medical insurance clinic can provide a certain proportion of medical expenses reimbursement for insured employees, reducing the economic burden of seeking medical treatment due to illness;

2. Wide coverage: covering outpatient treatment of various common diseases and chronic diseases, so that employees can get necessary medical services in time when they are sick;

3. Convenient service: employees can enjoy convenient medical insurance settlement service when they seek medical treatment in designated medical institutions, which simplifies the medical treatment process;

4. Health management: Medical insurance for employees in some areas also includes health management services, such as health consultation and disease prevention, which will help improve the health level of employees;

5. Special disease protection: For some special diseases, employees' medical insurance clinics also provide special reimbursement policies to further protect employees' medical rights and interests.

To sum up, the medical insurance clinic for employees is simple to use, which can reduce the economic burden of employees, widely cover the treatment of common diseases and chronic diseases, and provide convenient medical insurance settlement services, including health management and special disease protection, which is helpful to improve the health level of employees.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.