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How to inquire about the balance of Suzhou medical insurance card
The money in the medical insurance card can be taken out and used in the following situations:
1. When the insured person dies, the immediate family members can go through the surrender formalities with the death certificate;
2. If the insured person immigrates, he/she shall go through the surrender formalities with the certificate issued by the public security department.
3. If you are insured in different places, you can transfer the balance of the medical insurance account to a new account after you are insured locally.
1, scope of use of medical insurance card: When insured employees go to designated hospitals and pharmacies for medical treatment, they can swipe their cards on POS machines with their passwords, but they cannot withdraw cash or transfer money.
2. Inquire about the balance of medical insurance card: Insured employees can inquire about the balance by telephone, or at the Bank Savings Office of China or the designated hospitals and pharmacies in the urban area. You can also log in to the social security inquiry system online.
3. Inquiries about medical insurance card transactions: Insured employees can print medical insurance card transaction records, including personal account payment records and consumption records, at China Bank Savings Office. If you have any questions about the transaction records, you can go to the retail business department of Bank of China.
4. Medical insurance card password: The insured employees can change their passwords by phone or bring their ID cards to the Bank of China Savings Office. If the insured employee forgets his password, he can report the loss of the original password with his ID card to China Bank Savings Office and change it.
5. Custody of medical insurance card: Insured employees should keep the medical insurance card properly. If you accidentally lose it, please immediately issue a letter of proof to the unit and stamp it at the medical insurance office for confirmation, and then report the loss to China Bank Savings Office with your ID card and go through the formalities of replacement. After 7 days, they can get a new card.
6. Precautions: When the number of medical insurance card transactions reaches 60, the insured employees must go to China Bank Savings Office to print the transaction records, otherwise they will stop using the card. After the transaction record is printed, the card can continue to be used.
In the pharmacy 100% will bear it by itself, and hospitalization can only enjoy the reimbursement ratio (which must be within the scope of medical insurance).
If the hospitalization is within the scope of medical insurance, the scope of reimbursement is between 55% and 65% according to the actual amount of expenses incurred, such as 10000 yuan.
Medical insurance card chaos should be treated.
The medical insurance card is called "life-saving card" by the people. However, in some social pharmacies, medical insurance cards are illegal. Some people use medical insurance cards to illegally shop, cash out, cheat and buy drugs for sale at low prices, which encourages the black market trading of illegal underground drugs, leads to the loss of medical insurance funds, and lays a serious security risk for the national medical insurance system.
China's current medical insurance system is one of the means to alleviate the "expensive medical treatment" of urban residents and a "life-saving card" for ordinary people. But we can see that in some places, medical insurance cards have become shopping cards, and some people use them to buy soy sauce, towels, Chili sauce, toothbrushes and toothpaste. What's more, some pharmacies even condone illegal cashing and illegal "black market" transactions. A few people also use medical insurance cards to buy tight drugs, which flow into the black market through criminals, posing a threat to the national drug safety and medical system.
The fundamental reason for the disorder of medical insurance card is the lack of law enforcement basis. The social insurance law does not clearly stipulate the standardized use of medical insurance card funds, and some designated pharmacies with poor medical insurance lose their integrity management concept, ignore relevant state regulations, and operate illegally to obtain improper benefits; The punishment is too light, and the current national laws lack the protection of medical insurance funds; Individual consumers have the misconception that "the medical insurance card is full of their own money, and they can't get it without buying medicine, but they can get some benefits by buying some daily necessities", which provides a hotbed for some pharmacies to violate the rules.
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. Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party. Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.
Medical institutions shall provide reasonable and necessary medical services for the insured. Thirty-second individuals across the overall regional employment, the basic medical insurance relationship with my transfer, the cumulative payment period.
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