Instructions for use of 1
Outpatient reimbursement
Medical insurance for residents:
In an insurance year, if the general outpatient expenses of insured residents in designated outpatient medical institutions are within 100 yuan (inclusive), the residents' medical insurance fund will pay 30% and individuals will pay 70%; Personal consumption exceeds 100 yuan.
Medical insurance for urban workers:
The personal account on the medical insurance card of the insured person insured by the unit is not paid by himself; Since last year, the medical insurance card for flexible employees also has a monthly personal account of 15 yuan, which can be used to pay outpatient expenses, which is equivalent to outpatient reimbursement (unless the insured belongs to civil servants or the unit has other reimbursement policies).
Medical insurance hospitalization, show the medical insurance card, read the card into the medical insurance system, pay the deposit (usually the threshold fee), and enter the fee into the system. The system automatically classifies it as self-funded, Class A, Class B, etc. Class B should be paid 10% first, and then enter the basic medical care. According to the annual number of inpatients (more than 1 threshold fee halved), hospital level (different threshold fees, overall planning,
You can check online on the local social security website. All insured persons, with their ID numbers, enter their ID numbers in "Personal Inquiry" on the homepage of this website, and enter the passwords of ID numbers 12~ 17 as required. After entering, click "Personal Inquiry"-click "Designated Medical Insurance Institution" or "Designated Medical Insurance Pharmacy" to make an inquiry. The website can also inquire about the cardholder's payment, personal account balance and historical consumption.
2 reissue process
At this stage of medical insurance card, after the medical insurance card is degaussed and lost, it will be replaced directly according to the regulations. The specific process is as follows:
(1) If the bank is the same before and after the card change, I will report the loss to the employee medical insurance card service bank with my valid certificate, and the street labor security service center will accept the social security card application with the bank loss report notice and my valid certificate for 45 working days. After receiving the social security card and injecting capital, the amount in the original medical insurance card will be automatically transferred to the social security card without clearing it.
(2) If the card is not the same bank before and after the card change, then the social security card collection process is the same. However, the amount in the original medical insurance card will not be automatically transferred to the social security card, and a valid certificate is required to issue the Notice of Clearing the Employee's Medical Insurance Card at the social security sub-center of the insured place. With the notice and my valid certificate, go to the original employee medical insurance card service bank to cancel the medical insurance card.