Job Recruitment Website - Social security inquiry - How to check the balance of medical insurance co-ordination

How to check the balance of medical insurance co-ordination

First of all, you can check the balance of your health insurance account online. Participants can log on to the local social security website, enter the "personal services" page, click on "health insurance integrated account balance inquiry", enter the ID number, you can inquire about their own health insurance integrated account balance. Participants can go to the local social security service hall, with ID number and social security card, in the window for the inquiry of the integrated account balance of health insurance business, after the verification of the window staff, you can inquire about their integrated account balance of health insurance.

Medicare integrated query balance is as follows:

1, telephone query: China's social security bureau of the national unified service hotline 12333, you want to query the balance of the integrated health insurance account, you can directly dial the phone, according to voice prompts or transfer to the artificial customer service to query.

2, offline query: each area of the county will have a social security agency office hall, you can bring the relevant information to the office hall, in the staff's assistance to check the balance of the integrated medical insurance personal account.

3, online query: you can also log directly into the official website of the local social security bureau, after identity verification, in the personal center to find the integrated medical insurance account query, click on it to query the relevant information.

What is the reimbursement rate of the integrated medical insurance

The reimbursement rate is different for different levels of hospitals.

1. The reimbursement rate for medical expenses incurred at a tertiary hospital is around 75% to 85%, and generally the more expenses incurred, the higher the reimbursement rate.

2, in the second level of hospitals, incurred medical expenses reimbursement rate is about 80% ~ 90%, it is also incurred the more expenses, the higher the reimbursement rate.

3, in the first level of hospitals, incurred medical expenses reimbursement rate is about 85% ~ 97%, it is also incurred costs need to be higher, the higher the reimbursement rate.

We need to remind you that before reimbursement of the integrated health insurance also need to deduct the corresponding threshold fee, and ultimately incurred medical expenses can not exceed the maximum payout limit, more than the maximum payout limit as well as the threshold fee has been under the cost of all need to be borne by the participants themselves.

Legal basis:

Article 4 of the Full Text of the Social Insurance Law of the People's Republic of China

Employers and individuals in the People's Republic of China pay social insurance premiums in accordance with the law, and have the right to inquire about the record of payment, personal rights and interests, and to request social insurance agencies to provide social insurance consulting and other related services.

Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise the payment of contributions for them by their own units.