Job Recruitment Website - Social security inquiry - Is it reimbursed by directly swiping the social security card?
Is it reimbursed by directly swiping the social security card?
When you swipe a medical insurance card, you can use the money in the card to buy medicine. Reimbursement means that as long as you have a medical insurance card, you can reimburse whether you use the money inside or not. There are two kinds of medical insurance cards now, one is employee medical insurance and the other is resident medical insurance. Medical insurance for employees is paid jointly by individuals and units after work. Every month, the personal account will be refunded according to a certain proportion, and the money in the personal account can be used for pharmacies to buy medicines. Residents' medical insurance is paid at the end of each year, and hospitalization expenses can be reimbursed. Medical insurance reimbursement mainly includes field reimbursement, local reimbursement and drug purchase reimbursement, and swiping medical insurance card belongs to drug purchase reimbursement.
Medical insurance reimbursement conditions:
1, the insured must meet the requirements of the national medical insurance, that is, pay the corresponding medical insurance fees under the national medical insurance system;
2, medical expenses must comply with the provisions of the national medical insurance medical service directory, including drugs, treatment items, inspection items, surgical items, etc. ;
3. Medical expenses must be consumed in medical institutions designated by medical insurance, that is to say, the insured can only enjoy medical insurance reimbursement services in medical institutions designated by medical insurance;
4. Medical expenses must be submitted for medical insurance reimbursement within the specified time. It is generally required to submit an application within a certain period of time after seeing a doctor;
5. The balance of the insured person's personal account must be sufficient, otherwise the medical insurance reimbursement service cannot be enjoyed.
To sum up, the process of reissuing medical insurance cards in different regions and different types of medical insurance may be different, and the specific process needs to be determined according to local actual conditions and policies.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
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 receive material assistance 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.
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