Q: outpatient registration fees are not reimbursed at the same rate? Answer:Since June 1, 2009, outpatient consultation fees are paid by the health insurance fund fixed amount of 2 yuan, the rest of the cost by the insured person to pay in cash. It is worth stating that regardless of whether or not the medical expenses incurred by the patient this year exceed the outpatient starting line, the medical insurance fund will also pay a fixed amount of RMB 2 yuan. Q: Are the medical expenses for purchased medicines settled in real time with the card? A: Medical expenses incurred due to purchased medicines are not settled in real time with the card, and are still operated according to the original settlement method. Q: Under what special circumstances can participants be reimbursed for full cash advance medical expenses? A: In case of emergency without a social security card, family planning surgery, business arrears, manual reimbursement or replacement of social security cards during the period of participation in the social security card is not issued after the social security card and other circumstances to seek medical treatment, still by the insured person personal cash advance medical expenses, can not be completed directly in the hospital real-time settlement, in line with the conditions of payment of health insurance fund, in accordance with the original process for manual reimbursement procedures. [1] Q: How to read and understand the real-time settlement fee bill? Answer:The real-time settlement fee bill details, the amount of medical insurance coverage can be included in the total cost of medical insurance payment. Payment by the Medical Insurance Fund: The total amount of expenses that should be paid by the Medical Insurance Fund according to the policy, including outpatient large medical expenses, retiree supplemental insurance, and disabled soldiers' benefits. The medical expenses "borne by the individual" include three parts: 1. Out-of-pocket expenses: medical expenses proportionally borne by the individual (including the starting line and the amount above the ceiling line); 2. Out-of-pocket expenses: the amount to be borne by the individual in the catalog of Class B (e.g., 10% of the individual's out-of-pocket medical expenses for Class B medicines); 3. Out-of-pocket expenses: the scope of reimbursement (i.e., medicines, diagnosis and treatment, and medical fees). Out-of-pocket expenses: medical expenses outside the scope (i.e. three catalogs of medicines, diagnosis and treatment, and service facilities); total medical expenses for the current visit = payment by the medical insurance fund + personal burden. Q: How to change the information of the social security card for the active retired person? A: The information of the cardholder can be synchronized with the data of the social security office in the district or county where the card is issued. Q: What are the problems that may occur if an active worker does not change his/her social security card information in a timely manner? A: If an active employee does not change his/her information in time after retirement, he/she will still be reimbursed according to the outpatient threshold and reimbursement ratio of the active employee when he/she seeks medical treatment with his/her card, which may jeopardize his/her rights and interests in medical insurance. Q: Do I need to choose a hospital for medical treatment with my card? A: After the implementation of card-carrying medical treatment, the designated medical institutions for individual medical treatment will still be based on the designated medical institutions selected in the medical insurance handbook, and Class A, Traditional Chinese Medicine, and Specialized Hospitals can be directly accessed. Q: Will there be any change in the starting payment line for the insured people who use social security cards for medical treatment? A: The standard of the starting line will remain unchanged after the card is used for medical treatment: only one starting line will be deducted from the outpatient (emergency) expenses of the insured persons in a year: 1,800 yuan for the active employees and 1,300 yuan for the retired persons. The policy stipulates that medical expenses below the starting line for outpatient services shall be paid from the individual account funds. The portion of medical expenses exceeding the threshold will be reimbursed in accordance with the reimbursement ratio stipulated in the policy, and the individual will only bear the out-of-pocket portion of the medical expenses. Q: What is the adjustment of the policy of individual account management after holding the card for medical treatment? A: There is no adjustment to the policy of personal account management at present. The amount of the individual account of the insured person after medical treatment with the card will still be transferred to the special passbook for medical insurance of the insured person in the Bank of Beijing on a monthly basis, and the funds in the individual account can still be withdrawn from the bank independently. Q: What if a participant who has received a social security card accidentally loses his/her medical insurance handbook (blue book)? If the social security card is lost, how to replace it? A: You need to go to the social security center of the district or county where you are insured to apply for the replacement of the medical insurance manual (blue book). When you apply for the replacement of the medical insurance manual (blue book), the unit needs to provide the social security card of the cardholder, and the social security center of the district or county will synchronize and update the card information of the social security card for you. Lost social security card through the unit to participate in the district and county social security center for replacement card procedures, the unit must also provide the insured person's health insurance manual (blue book), the district and county social security centers will be synchronized with the update of social security card card information. Q: Where can I get a social security card? A: Employees in the insured unit to receive the card; retirees in the original unit to receive the card; socialized management of retirees in the insured street social security office to receive; job placement, talent filing personnel in the insured area job placement, talent service center to receive the card. Q: After receiving the card, found that the card information is wrong how to change? A: Found that such cases, most of the photos do not match the person, or the name of the same sound and different words, etc.. In these cases, the cardholder should return the card to the District Social Security Center through his/her employer. Q: What should I do if the information on my social security card does not match with my ID card? A: Give the social security card and the copy of ID card or household register to the unit, and the unit will submit it to the district social security center to make a new card. Q: How can I check the information on the card? A: You can go to the card service outlets with your card and get help from the staff to inquire, or you can inquire by yourself on the electronic touch screen of the self-service terminal with your card. At present, the city's social security card service system mainly consists of four parts: social security card service outlets, social security card service hotline, social security card service website and social security card self-service terminals. Social security card service outlets are set up in the city's more than 300 street social security offices and 18 districts and counties social security centers and social security centers in the city's economic development zones, which are convenient for cardholders to handle social security card-related business; the social security card service hotline is "", which provides 24-hour service; in addition to logging on to the Beijing Municipal Human Resources and Social Security Network, which provides access to the social security card service website interface. Access to the social security card service website interface. Self-service terminals for social security card service have been installed in social security card service outlets and designated medical institutions above the second level in the city, which can realize the functions of inquiring medical insurance information and pre-loss. Q: Why do some employees in the organization have the card and some don't? A: The social security card issued on February 16, 2009, zero hour of the medical insurance database at the point of time information, since then the new participants and due to errors in information matching the need to carry out a second collection of information on the staff is not within the scope of the card issued. As a result, some employees in the organization have cards and some do not. Q: How to determine the time of medical treatment with the card after the participant receives the card? Why do some organizations tell the participants that they can only use the social security card for medical settlement in the second half of the year? A: After receiving the social security card, the participants can go to the designated medical institutions with the card for medical treatment and real-time settlement. However, prior to that, if there are any medical expenses paid in full by individuals, they should go through the manual reimbursement procedures in advance. Q: For those who have received the social security card, will they continue to use the medical insurance handbook (blue book) in their hands? A: The social security card will be issued in phases. Before the social security card completely replaces the medical insurance handbook (blue book), the social security card and the medical insurance handbook (blue book) will be used in parallel. A notice will be issued to inform the city when the blue book is no longer in use. Q: What should I do if I forget to bring my card to my doctor's appointment? A: Participants who have received their social security cards are required to present their cards when they visit designated medical institutions where card-carrying medical settlement services are available. If you do not present your social security card, the costs incurred will be borne in full by the individual and will not be paid by the medical insurance fund. Q: How to open a social security card for the first time? A: When a participant goes to a designated medical institution with his/her social security card, the social security card can be opened at the same time when he/she registers or pays the fee. Q: How to see a doctor with a social security card? A: First of all, in the registration must show the social security card, cash payment of personal out-of-pocket, out-of-pocket expenses, the hospital for the insured person to issue a fee bill; second, to the consultation room to see a doctor, to the doctor to take the initiative to show the social security card and "Beijing medical institutions outpatient emergency medical records manual"; third, to pay the bill, the social security card and the bill together to the settlement personnel, pay the bill. Thirdly, when paying the fees, the social security card and the bill should be handed over to the billing officer to pay the individual's self-payment and out-of-pocket expenses; finally, after getting the bill, the contents on the bill should be checked carefully and the social security card should be withdrawn. Q: Is the unified supplementary medical insurance for retirees settled at the same time? A: Yes. Q: How can I see a doctor during the period of replacing the social security card? A: During the period of applying for replacing the social security card, the insured person needs to take the initiative to present the "Certificate of Newly Issued and Replacing Social Security Card" when he/she goes to the designated medical institution for medical treatment. The designated medical institution will collect relevant information according to the Certificate of Newly Issued and Replacement (Replacement) Social Security Card and upload the cost details. When the designated medical institution settles the medical expenses for the insured person, it will collect the full amount in cash and issue the relevant documents, and the insured person with the new social security card will declare the medical expenses according to the original process. Q: How can cardholders seek medical treatment at designated medical institutions that do not have the conditions for swiping the card? A: If the cardholder goes to a designated medical institution that does not have the conditions for card swiping, he/she pays the full amount in cash first, and the hospital issues a medical expense bill for the participant and uploads the details of the medical expenses, and the participant with his/her social security card will make the reimbursement of the outpatient medical expenses according to the original process. Q: How can I distinguish whether I should use my social security card for real-time settlement when I seek medical treatment after a work-related accident? If the real-time settlement is made, and then recognized as a work-related injury, how to solve the problem? A: If it is determined that it is indeed a work-related accident, the medical expenses should be fully advanced and then reimbursed by the work-related injury insurance; if the real-time settlement is made and then it is determined that it is a work-related injury, the insured person will apply for a refund of the real-time settlement and then fully advance the medical expenses, and then the fully advanced medical expenses will be declared to the district and county medical insurance agencies for manual reimbursement afterwards. Q: What are the circumstances that require the change of social security card information? A: (1) Medical insurance in-service to retirement; (2) Disabled soldiers new enrollment; (3) Switching medical insurance insurance; (4) Special disease approval. (5) Lost handbook replacement handbook. Q: What should I do if I lose my social security card? A: cardholders who have lost their social security cards can call the social security card service hotline "" (24-hour service) for telephone pre-loss. The cardholder can also take his/her resident identity card or household register to the social security card service outlets to apply for written pre-loss procedures, or directly at the self-service terminals set up by the social security card service outlets and designated medical institutions above the second level to make a pre-loss. The validity of pre-loss is 10 days, and the card will be automatically unlisted after the valid time limit. If the lost person is sure that the lost social security card cannot be recovered, he/she should go to the social security card service outlets with his/her own identity card to formally register the loss, and at the same time go through the procedure of replacing the card. 15 working days later, the person who applies for replacing the card will go to the social security card service outlets to collect the social security card with his/her own identity card or hukou booklet, and the "Proof of New Issue and Replacement (Replacement) of Social Security Cards" (referred to as "Proof of Receiving the Card," see Appendix I). After applying for the official loss, you can not apply for revocation of the loss.