On January 11, 2022, the Health Insurance Bureau issued an announcement related to health insurance newcomers 304 and 305, in which health insurance newcomer 304, means a newly insured natural person, while 305 means joining newly insured enterprises and institutions, paying social insurance fees according to the regulations and enjoying the basic health insurance treatment. So Medicare newcomer 305 means joining newly insured enterprises and institutions.
The precautions related to the use of medical insurance card are as follows:
1, the medical insurance card should be properly stored, can not be bent, folded, carved, and can not be in contact with magnetic objects (such as televisions, stereos, magnetic clasps, etc.);
2, the card is only for the use of the participant, and shall not be lent, fraudulent, altered or forged;
3, due to the fixed-point medical institutions or When the medical insurance card cannot be used due to the equipment failure of the designated medical institution or designated pharmacy, the medical fee shall be paid by the individual in cash first, and then re-settled according to the regulations at the original medical institution or pharmacy where the equipment failure occurred after the failure is eliminated;
4. In case of termination of the medical insurance relationship of the insured due to his/her residing in a foreign country, cancellation of his/her household registration, municipal or city medical insurance relationship, or death, the insured and his/her family members shall return his/her medical insurance card to the medical insurance Agency, withdrawn city, district, county registration centers or service points.
Medicare reimbursement process is as follows:
1, the processor submits the reimbursement documents and other materials to the deep gray insurance fund management bureau for acceptance;
2, the acceptance of the department since the receipt of the application materials, the medical insurance center to complete the audit on the same day, the settlement, the payment of the work;
3, the social insurance fund management bureau to review the materials and approval of the application, the applicant to receive the "social medical insurance Medical Expense Reimbursement Slip" and is reimbursed.
In summary, when making online payment for medical insurance, you need to enter correct personal identification information and medical insurance number, otherwise it will lead to payment failure.
Legal basis:
Article 23 of the Social Insurance Law of the People's Republic of China
Employees shall participate in the basic medical insurance for employees, and shall pay the basic medical insurance premiums by the employing organization and the employees in accordance with the state regulations***. Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the State regulations