Is the money reimbursed for social security medical treatment the money in the social security card?

Whether the money for social security medical treatment is the money in the social security card depends on what kind of medical insurance you have. You can also use outpatient credit card for hospitalization insurance, but instead of deducting money from social security card, you can use outpatient co-ordination fund. If you can't get the fund, you must use cash. If it is comprehensive medical insurance, there is a medical personal account in the social security card. If you use social security to see a doctor, you will deduct the money in the social security card, that is, the money in the medical personal account.

There are two medical insurance accounts, one is personal account and the other is overall account. The money paid by ordinary individuals goes into personal accounts, and the part paid by companies or society goes into overall accounts. The money in the overall account can't be taken out. Those who meet the reimbursement conditions can apply for reimbursement directly, and the money in the personal account can be used to pay for the self-funded part of seeing a doctor or buying medicine at a pharmacy.

It should be noted that when the insured person goes to the designated hospital for medical treatment, he will show his medical insurance card to prove his identity and registration. Individuals do not need to pay first and then reimburse, and medical insurance and hospitals can directly settle the part of medical insurance reimbursement. Only at the time of checkout, the self-funded part will be paid by the balance of the medical insurance card or cash.

As we all know, general medical insurance reimbursement mainly covers expenses incurred during hospitalization. For outpatient expenses, local requirements are different. A few provinces can reimburse the outpatient service, but at present, most provinces can't reimburse it, only the amount in the personal medical insurance card can be swiped. If the balance runs out, they can only see the clinic at their own expense. More and more provinces can reimburse outpatients. For example, in Hunan, the outpatient medical expenses incurred by employees in medical institutions above the second level are reimbursed at a rate of 50%, and there is no deductible.

Those who participate in comprehensive medical insurance can check the balance of medical insurance online, and one of the results of personal social security inquiry is the balance of medical insurance. I can't find the details of medical expenses online. You can check the details of medical insurance expenses in the Social Security Bureau window.

legal ground

People's Republic of China (PRC) social insurance law

Article 25 The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies.

People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

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

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.