Medical insurance card hospital dispensing regulations

Participating workers in the designated hospitals, pharmacies, medicine purchase, with the password in the POS machine swipe card use, but can not withdraw cash or transfer use. The card can be used to purchase medicines at designated pharmacies, and can also be used for outpatient treatment and to pay for the part of the hospitalization that the individual bears. The scope of use of the Shanghai medical insurance card stipulates that employees who participate in medical insurance should go to the local medical insurance designated hospitals to see a doctor, but not in any hospital can see a doctor. In principle, designated pharmacies can only provide drug dispensing services to the same insured person once a day. In case of outpatient and emergency visits to outpatient medical institutions, hospitalization for hospital entry and exit procedures, you need to show your medical insurance card, and when you pay the bill at a designated medical institution or go to a designated retail pharmacy to dispense or buy medicines, you need to pay the bill with your medical insurance card; when the amount of the card is not enough to cover the payment, you need to make up the amount in cash, and you are not allowed to make an overdraft. The specific amount of individual medical insurance can be inquired in many places, like the way of Guangzhou medical insurance card balance inquiry, on the Internet, by phone and in the office. If a participant really needs to purchase medicines again on the same day, the designated pharmacy should carefully examine and make a detailed record of the participant's purchase of medicines for verification by the medical insurance management department. If a participant dispenses drugs more than twice on the same day (excluding twice), the computer system will stop the participant's card settlement function in the designated pharmacy with his/her social security card or medical card, and then resume on the next day. In addition to this, there are six use of the health insurance card needs extra attention: First, under normal circumstances, the need for hospitalization, take the health insurance card, medical records to their designated hospitals, you can use the health insurance card settlement. That is, the self-pay part of their own payment, reimbursement part of the medical insurance center and the hospital settlement. Secondly, if you are transferred from your designated hospital to a secondary or tertiary hospital, you can use your medical insurance card to settle the bill, as above. Third, if the condition is critical and the patient is hospitalized in a hospital other than his/her own designated hospital for resuscitation, he/she shall go to the medical insurance center for the identification of emergency resuscitation diseases within 5 days, and after being identified as an emergency resuscitation disease, he/she shall settle the bill with his/her medical insurance card in the hospital of resuscitation. Fourth, if the patient is transferred to a foreign country for treatment, he/she shall go through the referral procedure with the consent of the hospital and the medical insurance center. The expenses incurred abroad will be settled at one's own expense first, and after the completion of the treatment, all the information will be reimbursed by the community labor security workstation. Fifthly, if you have been identified as a special prescribed disease (cancer, uremia, organ transplantation), you will use your medical insurance card to settle the bill when you are hospitalized. When taking medicine for outpatient treatment, the medical insurance card will still be used, and the individual will settle the bill at his/her own expense first, and the bill settled by himself/herself will be reimbursed by the community labor security workstation within the current year. Sixth, there is a special case, that is, need to do cataract ultrasonic emulsification IOL placement, self-selected a capable hospital (not necessarily their own designated hospital). Without hospitalization, direct outpatient surgery, still using the medical insurance card, the first personal out-of-pocket settlement, after the end of the clinic, through the community labor security workstation reimbursement of medical insurance.

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