Interpretation of inquiry method of residents' basic medical insurance
The main inquiry methods of residents' basic medical insurance are: 1, on-site inquiry. Insured residents can go directly to the local medical insurance center with their valid ID card and social security card, and ask the staff of the medical insurance center to inquire about the basic medical insurance of residents. For the strategy of medical insurance reimbursement, I just sorted out the relevant contents, hoping to help you: how to use social security medical insurance? 1. Teach you how to apply for reimbursement!
2. Telephone inquiry. Insured residents can directly call the unified telephone number of the local medical insurance center, and the general area code is+12333. They can also inquire about the residents' medical insurance balance, payment period, payment date and other information by telephone.
3. Check the designated pharmacy. Insured residents can check medical insurance by swiping their cards at the designated pharmacies in the medical insurance center, but this query method can only check the balance information of medical insurance.
4. Self-service terminal inquiry. Insured residents can bring their own medical insurance cards to the self-service inquiry terminal set up by social security institutions, enter their own medical insurance numbers and passwords, and then make medical insurance inquiries.
5. Check online. You can log on to the local social security website, enter your ID number, social security card number and password in the corresponding position in the inquiry window, or you can easily inquire about medical insurance.
Pay attention to the inquiry method of residents' basic medical insurance, and suggest buying medical insurance as soon as possible.
After understanding the inquiry method of residents' basic medical insurance, experts pointed out that residents' basic medical insurance is mainly used to pay the medical expenses of insured residents' hospitalization and outpatient serious diseases and outpatient rescue. The scope and standard of payment shall be implemented in accordance with the drug list of basic medical insurance for urban residents in Yunnan Province, the scope and standard of diagnosis and treatment items and the scope of medical service facilities. Qifubiaozhun is the same as the basic medical insurance for urban workers, that is, three-level 980 yuan, two-level 720 yuan and one-level 540 yuan.
In addition, the insured residents implement a fixed-point first consultation and two-way referral system for medical treatment. The first-time medical institutions are designated as community health service centers, specialized hospitals, hospital-store cooperation, secondary and below medical institutions, and some tertiary comprehensive and transferred medical institutions are designated as fixed points. When insured residents seek medical treatment, they should first seek medical treatment in the first-visit medical institution. If it is really necessary to be referred for hospitalization due to illness, the first-visit medical institution shall issue a certificate of referral before being transferred to the designated referral hospital for hospitalization. The proportion of payment is determined according to different levels of medical institutions, and the proportion of fund payment of first-class (including community health service center), second-class and third-class medical institutions is 75%, 60% and 50% respectively. After two years of continuous insurance, the contributions of urban residents can be increased to 80%, 65% and 55% respectively. Therefore, in order to give yourself a better guarantee, it is recommended to buy basic medical insurance for residents as soon as possible.
The above is a detailed introduction to the "residents' basic medical insurance inquiry", hoping to help everyone.