1. online inquiry: log in to Harbin government service network, select "government service", then select "social security", click "Harbin online inquiry system for medical care, maternity, work injury and unemployment", then click "register now", fill in relevant information and enter the personal online inquiry system. In the personal online inquiry system, you can select the modules to be inquired, including personal account balance inquiry, personal payment details inquiry (supporting printing function), account transfer inquiry, account expenditure inquiry, etc.
2. Mobile phone inquiry: pay attention to the official account of Harbin Medical Insurance WeChat, then click "Medical Insurance Inquiry", then click "Personal Inquiry", add an electronic social security card, enter the password of the medical insurance card, and then enter the inquiry interface to select the modules to be inquired, including policy inquiry, personal enrollment information inquiry, account transfer inquiry, account expenditure inquiry, etc. You can also inquire through the mobile phone of Harbin Bank.
Harbin medical insurance policy refers to the relevant policies of Harbin medical insurance, including the conditions of participation, reimbursement ratio, medical scope and so on. Through the interpretation of Harbin's medical insurance policy, it can help the insured to understand their rights and responsibilities, and clarify the specific provisions of medical insurance, so as to better enjoy medical insurance benefits. In addition, knowing the insurance policy can also help the insured to plan the medical treatment reasonably, choose the medical service mode that suits them and minimize the medical expenses. Therefore, the interpretation of Harbin medical insurance policy has important guiding significance for the insured.
Harbin's medical insurance reimbursement standards are as follows:
1. The outpatient medical expenses that meet the requirements shall be reimbursed according to the following proportion, and the rest shall be paid by the individual:
/kloc-medical expenses within 0/000 yuan shall be reimbursed by 35%.
Medical expenses 1000 yuan or more (including 1000 yuan), and the part less than 5,000 yuan will be reimbursed by 45%.
Medical expenses above 5000 yuan (including 5000 yuan) 10000 yuan are reimbursed 55%.
Medical expenses above 10000 yuan (including 10000 yuan) shall be reimbursed by 65%.
2, in line with the provisions of the hospital medical expenses, according to the following proportion to be reimbursed, the rest of the individual pays:
/kloc-85% of the medical expenses below 0/0000 yuan are reimbursed by tertiary hospitals, 87% by secondary hospitals and 90% by primary hospitals.
For medical expenses above 1 10,000 yuan (including 1 10,000 yuan), 90% will be reimbursed by tertiary hospitals, 92% by secondary hospitals and 95% by primary hospitals.
To sum up, understanding Harbin's medical insurance policy is of great guiding significance to the insured, which can help them better enjoy medical insurance benefits, rationally plan medical treatment and minimize medical expenses. I hope I can benefit from it and protect my health rights.
Legal basis:
People's Republic of China (PRC) social insurance law
second
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 when they are old, sick, injured, unemployed and have children.
Article 26
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.