The process is as follows:
1, the applicant needs to hold the original of my valid ID card to the processing location to receive the social security card declaration registration form and check, fill in;
2, the applicant to the social security declaration agency to submit a copy of the personal ID card, photo ID and other materials;
3, the declaration of success, received the notification of pick up, the applicant needs to hold the original of my valid ID card to receive the new social security card. After receiving the notification of successful declaration, the applicant is required to collect the new social security card with the original of his/her valid ID document at the place where the application is accepted.
The electronic social security card is a valid electronic certificate for online application of social security card, which corresponds to the physical social security card and is issued by the national social security card platform and managed by the Ministry of Human Resources and Social Security. Like the physical social security card, the e-social security card is unified and common throughout the country, and has the functions of identity certificate, information record, self-service query, medical settlement, payment and entitlement, and financial payment.
The difference between the electronic medical insurance card and the medical insurance card:
1, the difference in payment methods, electronic medical insurance card: belonging to the online medical insurance card, the insured person using the electronic social medical insurance card to pay for medical expenses, only need to show the electronic medical insurance card two-dimensional code or direct online payment can be. Entity medical insurance card: belongs to the card system entity card, if the payment of medical expenses, you need to rely on the card, in the designated hospitals or designated pharmacies to swipe the card to complete.
2. The difference in the form of the card is that the electronic medical insurance card: exists in the form of the Internet, displayed through the cell phone, there is no substantial card. Entity medical insurance card: is a multi-functional entity IC card, the card is attached to the chip, recording a variety of information about the participant.
3, the use of the scope of difference, electronic health insurance card: currently support the use of hospitals and drug stores can only be used, so the scope of use is limited.
Medicare card payment scope:
1, participate in the comprehensive medical insurance employees, the basic medical expenses during hospitalization by the basic medical insurance fund to pay 90%, individual out-of-pocket payment of 10%;
2, participate in the comprehensive medical insurance retirees, the basic medical expenses during hospitalization by the basic medical insurance fund to pay 95%, individual out-of-pocket payment of 5%, otherwise this method is not applicable. The basic medical expenses during hospitalization are paid 95% by the Basic Medical Insurance Coordination Fund and 5% by the individual, except as otherwise provided for in these Measures.
3. The outpatient basic medical expenses and the outpatient costs of drugs and diagnostic and therapeutic items in the local supplementary medical insurance drug list of the comprehensive medical insurance participants are paid by the individual account; if the individual account is insufficient to pay the outpatient basic medical expenses exceeding more than 10% of the average annual salary of urban workers of the previous year of the city in the year of medical insurance, 70% of such expenses shall be paid by the basic medical insurance fund, and 30% shall be paid by the individual. Individuals pay 30% out-of-pocket.
4. When a participant of comprehensive medical insurance has an outpatient examination or treatment with large-scale medical equipments on an outpatient basis due to the need of his/her condition and approved by the municipal social insurance institution or the medical institution authorized by the municipal social insurance institution, his/her expenses will be paid by the basic medical insurance fund at a rate of 80%, and he/she will pay 20% out of his/her own pocket. The items of large-scale medical equipment examination and treatment are determined by the municipal social insurance institution.
5. If the insured person, due to his condition, is approved by the municipal social insurance organization to use special medical materials or disposable medical materials with a unit price of more than 1,000 yuan, as well as to have an artificial organ installed or replaced, the basic medical insurance fund will pay 90% of the cost according to the price of the domestic popularized type; if there is no domestic popularized type with a comparable price, 50% of the cost will be paid according to the price of the imported popularized type. The basic medical insurance fund will pay 90% of the domestic universal price; if there is no domestic universal comparable price, 50% of the imported universal price will be paid. The scope of special medical materials and artificial organs is determined by the municipal social insurance organizations.
6. For outpatient dialysis for chronic renal failure, outpatient anti-rejection drugs after organ transplantation, and outpatient chemotherapy, interventional therapy, radiotherapy or nuclide therapy for malignant tumors, approved by the municipal social insurance institution, 90% of the basic medical expenses will be paid by the basic medical insurance fund, and 10% will be paid by the individual. The scope of organ transplantation is determined by the municipal social insurance organization.
Legal Basis
The Social Insurance Law of the People's Republic of China
Article 58 Employers shall, within thirty days from the date of employment, apply to the social insurance agency for social insurance registration for their employees. If it fails to register for social insurance, the social insurance administration organization shall approve the social insurance premiums it shall pay.
Individual industrial and commercial households without employees who voluntarily participate in social insurance, part-time workers who do not participate in social insurance with their employers, and other flexibly employed persons shall apply to the social insurance administrative organization for social insurance registration.
The State establishes a nationally unified individual social security number. Individual social security numbers are citizens' identity numbers.
Article 23: Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall pay the basic medical insurance premiums in accordance with the state regulations***.
Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance for employees in the employing organization, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.