The social health insurance card (referred to as the health insurance card or health insurance card) is a special card for the health insurance personal account, which takes the personal ID card as the identification code, and stores the personal ID card number, name, gender, as well as the account of the allocation of funds, consumption and other detailed information. The social medical insurance card is generally organized by the local designated agent bank and is a kind of multi-functional debit card of the bank. After the insured unit payment, the local medical insurance business department at the end of the month will be part of the individual account funds entrusted to the bank to pay the insured employee personal medical insurance card.
Second, what is the scope of reimbursement of medical insurance card? 1, the reimbursement of medical insurance card is limited to designated hospitals due to illness and some accidents caused by hospitalization above the medical expenses. The reimbursement formula is: (total cost - threshold fee - out-of-pocket expenses - overspending) * (75 + age * 0.2)%, under normal circumstances, the actual reimbursement rate ranging from 20 to 60%. Out-of-pocket expenses are not reimbursed, 80% of Class B drugs are reimbursed, there is a limit on bed charges, and some examination and treatment fees are not reimbursed. 2. The reimbursement amount of the health insurance card is 4 times the average salary of the local social workers (the cumulative value in 1 year). 3. The money in the medical insurance card can be used to buy medicines from designated pharmacies and pay for outpatient and emergency treatment, but it is not reimbursed because the money in the card is the money in the individual account of the medical insurance. 4. Reimbursement for major medical insurance. Participants suffering from serious illnesses, in the city health insurance designated medical institutions, in line with the city's health insurance requirements of the individual portion of the burden, included in the residents of the scope of payment of major medical insurance, by the funds of the major medical insurance reimbursement of 50%. That is, the amount of reimbursement = deductible × 50%. The main purpose of the medical insurance is to pay for outpatient and inpatient hospitalization, but in addition, you can also buy drugs at designated pharmacies, use medical equipment, thermometers and blood pressure monitors and other such auxiliary inspection equipment, to the physical examination and other out-of-pocket expenses, and so on. The card must not be borrowed or abused. The card can only be used by the cardholder himself, not rented or lent.