Job Recruitment Website - Social security inquiry - Does the money that Medicare doesn't use up go to the next year?
Does the money that Medicare doesn't use up go to the next year?
There is no such thing as an expiration date on the balance of a health insurance card. Generally speaking, the balance of the individual account of the health insurance will accumulate to the next year, but the coordinated account is generally required to have a limit every year.
Medicare reimbursement categories and proof of class materials:
1, transfer to foreign medical treatment: must be transferred to foreign medical preparation procedures, such as emergency, should be transferred to the hospital within seven days of the additional procedures;
2, the relocation of the work of a different place: the requirements of foreign residence, work in more than half a year, and must be prepared to apply for the preparation of the procedures beforehand;
3, business trip, visiting relatives, tourism and other short-term out Medical expenses during the period of acute illness: proof of business trip, proof of family visit, outbound travel contract, real-name air tickets, etc. when reimbursed;
4. Childbirth in a different place: hospital delivery costs and reasonable prenatal and postnatal checkups;
5. Social security system failures in the local and homogenized areas that do not allow for real-time credit card settlement: proof of endorsement of the invoice by the charging office of the healthcare institution and its stamp;
< p>6, social security card loss or damage, delay in card production: social security card management section invoice back stamped confirmation;7, outpatient clinic visits more than 20 times in a single month: the charge note must be a swipe card settlement and show the number of registered visits, must be provided with the outpatient clinic records;
8, acute illness or rescue did not carry the social security card: outpatient or inpatient medical records should be recorded in a detailed and clear enough to be recognized as Acute illness or rescue;
9, retired cadres outside the directory of drug costs: need to provide "retired cadres outside the directory of drug approval form" and stamped with the official seal of the hospital's health insurance management department; the provincial two fee center trustees of the health care of retired cadres must provide health care card;
10, the identity of the insured, change, change the insured unit
10, change of identity, change of insured unit, delay in arrival of local tax data: after the local tax change procedures and confirmation of arrival in the middle of the following month, reimbursement can be processed;
11, newborn medical expenses from birth: within three months of birth should be timely for enrollment and payment of premiums, and reimbursement can be processed only after the arrival of the payment of premiums. Birth certificates must be provided; for newborns who are not named at the time of incurring expenses, the name on the medical invoice, summary list, discharge record and other reimbursement vouchers will be uniformly adopted as the mother's or father's name followed by the words "son of" or "daughter of".
The reimbursement rate of medical insurance includes the basic medical insurance payment and individual out-of-pocket payment as follows:
1. The basic medical insurance payment rate refers to the proportion of the medical insurance fund payment, which is generally 70% to 80%;
2. The individual out-of-pocket payment rate refers to the proportion of medical expenses that the individual needs to bear, which is generally 20% to 30%.
Summary, the medical insurance usually reimbursement rate can reach about 50%, but its in the major diseases or accidents in the limited compensation, this time it is recommended that the participants can separately purchase commercial medical insurance and social security for a combination of ways to reduce their financial losses.
Legal basis:
Article 29 of the Social Insurance Law of the People's Republic of China
The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and pharmaceutical business units. The administrative departments of social insurance and the administrative departments of health shall establish a system of settlement of medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance by insured persons.
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