Can family mutual assistance enjoy municipal medical insurance benefits?

You can enjoy reimbursement after mutual medical insurance. Family members can help each other to use personal accounts after medical insurance, but the outpatient reimbursement regulations are limited to employees themselves, that is, people who help each other can use personal accounts, but they can only reimburse themselves with their own medical insurance cards.

The scope of use of family mutual assistance is as follows:

1, fund balance in that year: outpatient and emergency medical expenses within the scope of medical insurance, and drug purchase expenses of designated retail pharmacies;

2. Balance funds over the years: self-care, self-payment and self-funded medical expenses borne by individuals according to the provisions of basic medical insurance; In addition to the national expanded immunization program, the cost of vaccination.

Generally speaking, family mutual assistance means that you can use the money in your family's medical insurance card for hospitalization or medicine purchase, but hospitalization reimbursement needs to be related to medical insurance, and individual hospitalization expense reimbursement needs to be arranged according to your own medical insurance situation.

Family mutual medical insurance is to go to the pharmacy to buy medicine.

Mutual medical insurance can directly use the bound relatives card to buy medicine. Pay attention to the consistency of people and cards when using. If it needs to be used in the hospital, the health mutual aid account should first use the funds from my personal account over the years, and then use the funds from my health mutual aid account.

Family mutual assistance of medical insurance personal account means that the surplus funds of employee medical insurance personal account over the years can be used to pay the outpatient medical expenses of spouse, children and parents of employee medical insurance participants, so as to realize mutual assistance among family members.

Family mutual aid objects use their own social security cards for settlement, which is only used when purchasing medicines in designated hospitals or pharmacies within the urban area. Hospitalization can not be used, and outpatient expenses incurred outside the urban area are temporarily reimbursed according to the old method.

To sum up, it is Bian Xiao's relevant answer about whether family mutual assistance can enjoy municipal medical insurance benefits, and I hope it will help you.

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 get material help 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.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.