1. The Social Security Card of the People's Republic of China is an integrated circuit (ic) card, which is uniformly planned by Ministry of Human Resources and Social Security and issued to the public by local human resources and social security departments, and used in various business fields of human resources and social security.
Social security cards have a wide range of functions. Cardholders can not only take the card for medical treatment for real-time settlement of medical insurance personal accounts, but also handle endowment insurance affairs.
Go through the formalities of job registration and unemployment registration; Apply for unemployment insurance; Apply for employment training; Apply for labor ability appraisal and enjoy work-related injury insurance benefits; Handling labor and social security affairs online.
The social security card adopts the national unified standard, and the social security number adopts the citizenship number in accordance with the relevant provisions of the Social Insurance Law.
2. Social medical insurance card, referred to as medical insurance card or medical insurance card, is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, account capital expenditure and consumption are stored and recorded.
The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.
Extended data:
According to the Administrative Measures of the People's Republic of China on Social Security Cards:
Article 6 The areas where social security cards are issued (hereinafter referred to as card-issuing areas) shall establish standardized human resources and social security business processes with strong comprehensive coordination among businesses, so as to ensure the effective application of social security cards. At the same time, it shall also meet the following technical conditions:
(a) to establish a business management system, database and information network suitable for the use of social security cards;
(two) have the technical force to support the management and application of social security cards, including personnel and equipment, and be able to quickly complete the system layout of social security card applications;
(3) Formulating standardized and feasible implementation plans, including application design plans, cost solutions, information collection plans and specific distribution plans;
(four) to establish a scientific and perfect social security card issuance management system and clear internal control procedures, and formulate emergency plans;
(5) Other conditions stipulated by Ministry of Human Resources and Social Security.
Article 7 To apply for issuing social security cards, the following materials shall be submitted:
(1) Fill in a complete social security card issuance registration application form;
(2) An explanation of the preparation for the issuance of social security cards;
(3) The application fields and application file structures in the card that meet the requirements of the national unified specifications (including the application fields and indicators of local expansion);
(four) the card face style designed according to the unified requirements;
(five) the measures for the administration of social security cards in this area and the detailed rules for their implementation;
(six) other materials required by Ministry of Human Resources and Social Security.
Medical insurance reimbursement scope:
1, medical insurance card reimbursement is limited to medical expenses above hospitalization in designated hospitals due to diseases and some accidents.
The reimbursement formula is: (total cost-threshold cost-self-funded cost-cost overrun) *(75+ age *0.2)%. In general, the actual reimbursement rate ranges from 20% to 60%.
Self-funded drugs are not reimbursed, 80% of Class B drugs are reimbursed, bed fees are limited, and some inspection fees and medical treatment fees according to regulations cannot be reimbursed.
2. The reimbursement amount of medical insurance card is 4 times of the average salary of local social workers (1 year cumulative value).
3. The money in the medical insurance card can be used to buy medicines at designated pharmacies and pay for outpatient and emergency expenses, but it does not belong to the category of reimbursement, because the money in the medical insurance card is the money in the medical insurance personal account.
4, serious illness insurance reimbursement
After the insured suffers from a serious illness, the personal conceit part that meets the requirements of the municipal medical insurance in the designated medical institutions of the municipal medical insurance shall be included in the payment scope of the residents' serious illness insurance, and 50% shall be reimbursed by the serious illness insurance fund. That is, the reimbursement amount = self-funded part ×50%.
Baidu Encyclopedia-Social Security Card of the People's Republic of China
Baidu encyclopedia-social medical insurance card