What are the three categories of social security

"Three types of health insurance" personnel medical expenses online settlement introduction

According to the Shanghai medical insurance [2007] No. 169 "on the issuance of & lt; on the improvement of some of the city's urban residents basic medical insurance medical management and implementation of the implementation of online settlement of medical expenses & gt; notice", from this year onwards. October 18 from the new "elderly survivors, the elderly without security, seriously disabled" (hereinafter referred to as "three types of medical insurance") three categories of people can hold social security cards (or medical card) for medical treatment and online settlement. The main policies are:

I. Applicable objects and benefits:

1. Elderly survivors: 50% reimbursement for outpatient emergency and inpatient hospitalization;

2. Elderly people with no protection: 50% reimbursement for outpatient emergency and 70% reimbursement for inpatient hospitalization;

3. Seriously disabled people: 50% reimbursement for outpatient emergency and 70% reimbursement for inpatient hospitalization;

Three types of medical insurance. The reimbursement scope of the "three types of medical insurance" refers to the implementation of the relevant provisions of the basic medical insurance for urban workers in the city, and does not apply to the proportion of categorization of self-responsibility.

Second, the proof of medical treatment:

1. Outpatient emergency: the issuance and use of both social security card (or medical card) and the "medical record book"

2. Hospitalization: the need to issue and use the social security card (or medical card)

Third, the management of medical treatment:

1. Outpatient:

(1) the implementation of the system of fixed-point medical treatment and referrals. Participants may seek medical treatment at first-class hospitals. If they need to be referred to a hospital due to their condition and treatment, they should go through the referral procedures at the first-level hospital and be referred to the second- or third-level hospital in the city; if they need to be referred again, they can go through the referral procedures at the second- or third-level hospital and be referred to the designated designated hospitals for medical treatment. In principle, the maximum number of referral medical institutions is one, and the referral is valid for three months.

(2) For the insured who need to be referred, the treating physician will issue and fill in the "outpatient referral certificate", which will be examined and stamped by the reception office of the outpatient clinic, and registered by credit card.

2. Emergency:

No fixed-point medical treatment, and the expenses incurred will be paid in accordance with the regulations.

3. Hospitalization:

No fixed-point medical treatment. Participants can be hospitalized in the city's designated medical institutions (including emergency observation room observation), the costs incurred will be paid in accordance with the provisions. (Health Insurance Office)

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