How does Jiangsu Wisdom Society inquire about the balance of medical insurance?

Open the login app of Jiangsu Smart People's Society and click the social security card at the top of the home page to enter.

Enter the social security card interface, and click the social security inquiry service below.

Enter the social security inquiry service page, and click the social security balance inquiry.

Enter the medical insurance balance query interface, and you can view the balance on the medical insurance card at the bottom of the page.

Medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. The basic medical insurance fund consists of overall funds and individual accounts. The basic medical insurance premiums paid by individual employees are all included in individual accounts; The basic medical insurance premium paid by the employer is divided into two parts, one part is included in the personal account, and the other part is used to establish the overall fund.

How to reimburse medical insurance

One: the scope of reimbursement

Medical insurance can only reimburse drugs and expenses within the scope of medical insurance. If it is a self-funded drug, medical insurance will not be reimbursed.

Drugs and items beyond the scope of medical insurance reimbursement, such as cosmetic surgery, weight loss, height increase, myopia, daily physical examination and disease care, cannot be reimbursed. Hospitalization caused by traffic accidents cannot be reimbursed because it must be borne by the person responsible for the accident.

Two: Deductible

Deductible refers to the fact that you didn't spend the prescribed amount of money to see a doctor this year, so you can't report it.

For example, in Beijing, medical insurance outpatient deductible line 1800 yuan/year, hospitalization deductible line 1300 yuan/year.

If I work in Beijing, pay the medical insurance for urban workers and go to the hospital for outpatient service, I will only spend 1600 this year, and I have to pay for it all myself. If I spend 3000 yuan this year, the excess 1200 yuan can be reimbursed by medical insurance according to regulations.

Three: the capping line

The top line is that a person can quote you so much at most a year. The excess will not be reported.

Legal basis:

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

Article 2 The State establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance. Safeguard citizens' right to get material help from the state and society in accordance with the law in old age, illness, work injury, unemployment and childbirth.