What is the scope of use of Suzhou medical insurance card

Medical insurance has the basic characteristics of social insurance such as compulsory, mutual aid and social. Medical insurance, like other types of insurance, is also a contractual way to collect medical insurance premiums in advance to the person threatened by the disease is also more involved in the use of medical insurance card. The following is the relevant information that I have organized for you, I hope it will be helpful to you.

A, Suzhou medical insurance card reimbursement range

The use of medical insurance card its basic medical expenses and outpatient use of local supplemental medical insurance drug directory of drugs, diagnostic and therapeutic items of the cost of payment by the individual account; individual account is not enough to pay for, its in the year of medical insurance over the city of more than 10 percent of the average annual salary of urban workers of the previous year Outpatient basic medical expenses, the basic medical insurance fund to pay 70%, the individual to pay 30%.

When a medical insurance participant has an outpatient medical condition and is approved by the municipal social insurance institution or its authorized medical institution to have a large-scale medical equipment examination or treatment in an outpatient clinic, 80% of the cost will be paid by the basic medical insurance fund, and 20% will be paid by the individual. The items of large-scale medical equipment examination and treatment are determined by the municipal social insurance organization.

Suzhou medical insurance card how to use?

1, the health insurance is divided into two accounts, personal account, embodied in the health insurance card money, can be used to buy drugs in the designated pharmacy, outpatient payment and hospitalization costs in the payment of personal out-of-pocket part of the payment; co-ordinated account, managed by the health insurance center, the insured person occurs in line with the local health care reimbursement of the costs of co-ordinated account payment

2, in the medical treatment, the designated hospitals show the When you present your medical card to the designated hospital to prove your identity and registration, the part of the medical insurance reimbursement will be settled by the medical insurance and the hospital, and you don't need to pay for the reimbursement, and the part of the personal out-of-pocket expenses will be paid by yourself with the balance of the medical insurance card and the cash at the time of checking out.

Three notes

1, the employer and the insured person did not pay on time or interrupt the payment of health insurance premiums, the insured person's personal account from the next month onwards, frozen, suspended to enjoy the employee health insurance treatment. During the freezing period, the balance of the personal account in previous years and the amount of the current year's pre-scheduled amount can not be used.

2, the participants transferred out of the city urban co-ordination or death, individuals or units should be timely liquidation of the amount of individual accounts for health insurance.

The medical insurance card (referred to as the medical insurance card) is a special card for the medical insurance personal account, with the personal identity card as the identification code, stored in the personal identity card number, name, gender, and the account of the allocation of funds, consumption and other detailed information. The medical insurance card is organized by the local designated agent bank and is a kind of multi-functional debit card of the bank. After the insured unit pays its contributions, the local medical insurance department will entrust the bank to pay the individual account funds to the insured employee's personal medical insurance card at the end of the month. There are some differences in the use of health insurance cards, and China has not yet implemented a national network, the use of health insurance cards is still limited to the insured place.