Employee medical insurance, with work injury, pension, unemployment and maternity insurance, belongs to the same social insurance of a basic insurance, is mandatory through laws and regulations, the implementation of the basic mode of social integrated medical fund combined with individual medical accounts. This is the first time I've ever seen a person with a medical condition who has had a medical condition that was not in their best interest. There are many methods! First of all, you can choose to check online, logging into ireadplus.com, you can see the list of medical card balance inquiry addresses around the world, click into the relevant city, enter your personal ID number, password or medical card and other relevant information, you can carry out the employee medical insurance query. For the health insurance reimbursement strategy, I just happened to organize the relevant content, I hope to help you: social security health insurance how to use? An article to teach you to apply for the reimbursement process!
In addition to online inquiries, you can also make inquiries by phone. Medical insurance card query phone is the query location of the area code plus 12333, this phone can not only query the balance of the medical insurance card, but also about the designated hospitals, medical insurance and make up the payment, transfer and other related issues of consultation.
You can also go to the local social security bureau hall window to apply for inquiry. You will need to bring your personal identification and health insurance card with you to the window.
Reimbursement Scope of Employee Medical Insurance
I. Scope of Diagnostic and Treatment Items for Which Basic Insurance Will Not Pay Fees
(I) Service Item Category
1, Registration Fee, Out-of-Hospital Consultation Fee, and Medical Record Book Fee, etc.;
2, Visiting Fee, and Expedited Fee of Checkups and Treatments (Except for Emergency Treatment), The surcharge for surgery by name, the quality premium fee, the fee for hiring special nurses, and other special medical services.
(2) non-disease treatment program category
1, a variety of beauty (cosmetic life, medical cosmetic) fitness program and messy non-functional cosmetic surgery, orthopedic surgery, etc.;
2, a variety of weight loss, gain weight, increase the height of the project.
3, a variety of health checkups.
4, a variety of preventive, health care treatment programs.
5, dental orthodontics, dental porcelain.
6, a variety of medical consultation (excluding psychiatric consultation), medical appraisal.
(C) diagnostic and therapeutic equipment and medical materials
1, the application of positron emission tomography device, electron beam CT, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for the inspection and treatment program
2, glasses, dentures, prosthetic eyes, prosthetic limbs, hearing aids and other rehabilitative appliances.
3, a variety of self-use health care, massage, examination and rehabilitation and treatment equipment.
(D) therapeutic project category
1, all kinds of organ transplantation or tissue transplantation of organ source or tissue source;
2, in addition to kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissues
3, myopic orthopaedics
4, qigong therapy, music therapy, health care nutritional therapy , magnetic therapy and other complementary therapeutic programs.
Employee medical insurance, a collective term for public medical care and labor insurance medical care established in China in the early 1950s, is an important part of the national social security system and one of the important items of social insurance. Medical insurance has the basic characteristics of social insurance, such as compulsory, mutual aid and social. Medical insurance premiums are paid by medical insurance organizations to solve the medical risks brought about by workers' illnesses or injuries. The concern for employee medical insurance is also the concern for their own interests, and the method of inquiry and reimbursement scope of employee medical insurance is also a problem that people need to be concerned about.