Properties of goods of the basic medical insurance for urban and rural residents and its mode of provision

The item attributes of basic medical insurance for urban and rural residents public **** medical security services. Public **** medical and health products can be divided into three categories: public **** health services, basic medical services public **** medical insurance services. Basic medical insurance for urban and rural residents is the integration of the two systems of basic medical insurance for urban residents (referred to as urban residents' medical insurance) and new rural cooperative medical care (referred to as new rural cooperative medical care), and the establishment of a unified basic medical insurance for urban and rural residents (referred to as urban and rural residents' medical insurance) system.

I. Documents required to receive a health insurance card:

1. If an enterprise helps an employee to receive a health insurance card on behalf of the employee, it needs to provide a copy of the ID card of the person who receives a health insurance card on behalf of the employee, a copy of the ID card of the person who needs to receive the card, and the enterprise's official seal;

2. If an individual receives the card on his or her own, he or she needs to provide a voucher of the payment of fees, a voucher for the collection of the card, and the original of his or her ID card;

3, if another person to collect, you need to provide the original ID card, entrusted to collect the letter and other materials.

The conditions for reimbursement of medical insurance are:

1. The insured person must go to the designated medical institution of the basic medical insurance to purchase medicines, or go to the designated retail pharmacy determined by the social insurance organization to purchase medicines with the prescription issued by the doctor of the designated hospital.

2. Medical expenses incurred by insured persons in the course of seeking medical treatment must be in accordance with the scope and payment standards of the basic medical insurance drug catalog, diagnostic and treatment items, and standards of medical service facilities, in order to be paid by the basic medical insurance fund in accordance with the regulations.

3. The part of the medical expenses of the insured persons which are in line with the scope of payment of the basic medical insurance, and which are above the starting standard and below the maximum payment limit of the social medical insurance fund, shall be paid by the social medical insurance fund in a uniform proportion.

Legal Basis: The Social Insurance Law of the People's Republic of China

Article 2: The State establishes a system of social insurance for basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the right of citizens to obtain material assistance from the State and society in the event of old age, sickness, industrial injury, unemployment or maternity in accordance with law. The right to receive material assistance from the State and society in old age, sickness, industrial injury, unemployment and childbirth.

Article 26 The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with the provisions of the State.

Article 28 Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency and rescue medical expenses shall be paid out of the basic medical insurance fund in accordance with the state regulations.