There are the following types of medical insurance: 1, social medical insurance; 2. Hospitalization insurance; 3. Surgical medical insurance; 4. Medical insurance for major diseases. Please consult the Social Security Bureau for details. Qinzhou Legal Question and Answer Consultant 2020-09-04 20:23:58 Answer me: Hello, individuals who pay medical insurance should pay at the social security service point of the local community street or the county-level social security bureau (labor and social security bureau). Beihai Legal Q&A Consultant 2020-09-04 20:25:5 1 Answer me hello, the types of medical insurance are: 1, commercial medical insurance, 2, subsidized medical insurance, 3, fee medical insurance, 4, social medical insurance.
1. Can the part paid by the medical insurance personal account be reimbursed?
You can't. The basic outpatient medical expenses of the insured person of comprehensive medical insurance and the expenses of outpatient medication and diagnosis and treatment items in the local supplementary medical insurance drug list shall be paid by the individual account; If the personal account is insufficient to pay, the basic outpatient medical expenses incurred in excess during the medical insurance year are lower than 10% of the average wage of urban workers in this city in the previous year, and the individual pays; During the year, the basic medical insurance fund paid 70% of the part that exceeded the average wage of urban workers 10% in the previous year. After the personal medical account is used up, the part that exceeds the average wage of urban workers in this city last year 10% must be based on outpatient medical records (including records of medical history, examination, diagnosis, treatment, medication, etc.), inspection reports, detailed list of medical expenses, effective charge receipts and my employee social insurance card.
Two, the scope of reimbursement of urban medical insurance refers to all employers in cities and towns, as shown in the following figure:
1, including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.). ); 2, organs, institutions, social organizations, private non enterprise units and their employees, to participate in the basic medical insurance; 3. Some towns and villages stipulate that township enterprises and their employees, owners of urban individual economic organizations and their employees should be gradually incorporated into the basic medical insurance coverage (the last one depends on different local policies), so that they can enjoy medical reimbursement. Urban medical reimbursement mainly refers to medical treatment, medication, hospitalization, surgery, etc. And medical expenses can be reimbursed by medical insurance card in accordance with relevant regulations. Urban medical insurance is relatively specific, with large project scale and coverage, but limited compensation for major diseases or accidents. At this point, the author suggests that the insured can purchase commercial supplementary medical insurance and social security to reduce their economic losses.
Third, the scope of medical treatment items for employees' medical insurance reimbursement and basic insurance without payment (1) Service items 2. Special medical services such as outpatient service fee, urgent fee for examination and treatment (except emergency), surcharge for roll call operation, high quality and good price fee, and special care for self-invitation.