How to reimburse medical expenses with Tianjin Children's Social Security Card?

Legal analysis: 1, medical insurance card reimbursement is limited to medical expenses above hospitalization in designated hospitals due to illness and some accidents. Self-funded drugs are not reimbursed, 80% of Class B drugs are reimbursed, bed fees are limited, and some inspection fees and medical treatment fees according to regulations cannot be reimbursed.

2. The reimbursement amount of medical insurance card is 4 times of the average salary of local social workers (1 year cumulative value).

3. The money in the medical insurance card can be used to buy medicines at designated pharmacies and pay for outpatient and emergency expenses, but it does not belong to the category of reimbursement, because the money in the medical insurance card is the money in the medical insurance personal account.

4. Reimbursement of serious illness insurance: The part of the insured who meets the requirements of the municipal medical insurance in the designated medical institutions of the municipal medical insurance is included in the payment scope of the residents' serious illness insurance, and 50% is reimbursed by the serious illness insurance fund. That is, reimbursement amount = self-funded part ×50% According to the relevant answers to the above contents, it can be concluded that the proportion of children's social security cards that can be reimbursed at the time of reimbursement is generally 65% in first-line hospitals and 300 in second-line hospitals, and 60% can be reimbursed at that time.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.

Fifth people's governments at or above the county level shall incorporate social insurance into the national economic and social development plan.

The state raises social insurance funds through multiple channels. People's governments at or above the county level shall give necessary financial support to social insurance.

The state supports social insurance through preferential tax policies.