1. The cost of medical insurance is borne by both the organization and the individual, and the proportion of contribution is about 8% for the enterprise and 2% for the individual, and a part of which goes into the individual account, that is, the money in the medical insurance card.
2. The card can be used for purchasing medicines at designated medical stores, as well as for outpatient care and paying for the part of the hospitalization that the individual bears.
3. If a participant is hospitalized, he or she can go directly to a local designated medical institution with the medical insurance handbook and IC card. The general procedure is: with health insurance manual and IC card - hospital medical insurance office registration - validation of the card - hospitalization deposit - hospitalization - for self-payment items need to be agreed by the patient and signed - cash or IC card settlement of the starting standard and self-payment ratio of the self-payment part of the coordinated scope of the hospital first advance payment - settlement of discharge.
Preferences:1. Resident medical insurance: In an insurance year, the resident medical insurance fund pays 30% and the individual pays 70% of the general outpatient expenses incurred by the insured resident at the outpatient designated medical institutions up to 100 yuan; the individual pays for the expenses of more than 100 yuan.
2, urban workers' medical insurance: medical insurance hospitalization, show your medical card, read the card into the medical insurance system, pay a deposit (usually the threshold fee), the costs incurred are entered into the system, the system is automatically categorized as out-of-pocket expenses, Category A, Category B, etc., Category B first 10% out-of-pocket, and then into the basic medical care, in accordance with the number of hospitalizations per year (greater than 1 threshold fee is reduced by half), the level of the hospital (threshold fee is different, different proportion of co-ordination), the computer calculates the amount that should be paid by yourself. ), the computer calculates how much you should pay for yourself, and the hospital then settles how much with the social security's health insurance center.
3, hospitalization within the scope of health insurance, according to the actual amount spent, such as: spend 10,000 reimbursement between 55%-65%.
Extended information
1, social health insurance card (referred to as health insurance card or health insurance card) is a special card for health insurance personal account, it is a personal ID card as the identification code, stored in the records of the personal ID card number, name, gender, and the account of the allocation of funds, consumption and other details of information.
2. The medical insurance card is generally contracted by the local designated agent bank and is a kind of multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance business department at the end of the month will be the individual account fund part of the bank entrusted to the insured employee personal medical insurance card.
Reference Baidu Encyclopedia-Social Health Insurance Card