Baby medical insurance card can't reimburse self-funded vaccines, because self-funded vaccines are generally imported and don't belong to medical insurance varieties, so medical insurance can't be used.
The scope of medical insurance reimbursement is the reimbursement of basic medical insurance drugs; The basic medical insurance diagnosis and treatment project and the reimbursement of the basic medical insurance diagnosis and treatment project shall meet the following conditions, and the clinical diagnosis and treatment must be safe and effective, with appropriate expenses. The price department has formulated charging standards, and designated medical institutions provide designated medical services for the insured; Basic medical service facilities reimbursement.
The medical insurance card processing method is that the insured person carries his valid certificate and applies to the neighboring district and county medical insurance center, and the district and county medical insurance center completes it on the spot; The insured person may also apply for the nearest street medical insurance service point to handle it on his behalf; The insured may entrust others to handle it on his behalf. Customers need to carry valid certificates of themselves and the insured when handling; When the employer handles it centrally, it can go to the county medical insurance center with the letter of introduction and the valid certificate of the agent, and then the employer issues the medical insurance card to the insured.
Conditions for brushing social security:
1. Under normal circumstances, when you need to be hospitalized due to illness, you can go to your designated hospital with your social security card and medical record, and settle with your social security card. That is, some of them pay at their own expense, and some social security centers and hospitals reimburse and settle accounts;
2 from the designated hospitals to secondary or tertiary hospitals, the use of social security cards for settlement;
3. If the patient is critically ill and hospitalized in a non-designated hospital, it shall go to the municipal social security center for emergency rescue disease identification within 5 days. After being identified as an emergency rescue disease, it can be settled by using social security card in the rescue hospital;
4, transferred to other places for treatment, with the consent of the hospital and social security center, the referral procedures. The expenses incurred in the field shall be settled by the individual at his own expense, and after the diagnosis and treatment, the community labor security workstation shall prepare the materials for reimbursement;
5. Special provisions have been made for the settlement of social security cards for cancer, uremia, organ transplantation and hospitalization. Social security cards are still used when taking medicine out of the clinic, and bills settled by individuals at their own expense are reimbursed by community labor security workstations this year;
6. There are special circumstances that require phacoemulsification and intraocular lens implantation. Choosing a competent hospital is not necessarily your own designated hospital. No hospitalization, direct outpatient surgery, still using social security card, first settled at their own expense, and reimbursed by the community labor security workstation after diagnosis and treatment.
To sum up, the scope of use of social security card is that when the insured employees buy drugs in designated hospitals and pharmacies, they can use the card on the POS machine with their passwords, but they cannot withdraw cash or transfer money. The use of social security cards is limited by geographical scope. Insured employees can use social security cards when they go to designated hospitals and pharmacies for medical treatment, or they can swipe their cards on POS machines with their passwords, but they cannot withdraw cash or transfer money.
I hope the above content can help you. Please consult a professional lawyer if you have any other questions.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.