One-year reimbursement limit of social security card

The annual reimbursement limit of social security card is as follows:

1, the maximum reimbursement amount for urban workers' medical insurance outpatient service: 20,000 yuan; Hospitalization: 300,000 yuan;

2. The maximum reimbursement amount of medical insurance for urban residents is outpatient: 2,000 yuan; Hospitalization: 6.5438+0.7 million yuan.

At present, rural areas, towns, hospital levels, patients' ages and other factors will have an impact on the initial reporting amount and reimbursement ratio.

Social medical insurance card, referred to as medical insurance card or medical insurance card, is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, account capital expenditure and consumption are stored and recorded.

The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.

Scope of use of medical insurance card: When insured employees buy medicines in designated hospitals and pharmacies, they can swipe their cards on POS machines with their passwords, but they cannot withdraw cash or transfer money.

Social security card processing flow:

1. If an individual pays social security, he/she will receive a social security card from the successful bidder with his/her valid certificate and personal card;

2, the unit to pay social security for employees, by the employer with the unit letter of introduction and unit card notice to the bid acceptance agency to receive.

To sum up, there is another important reason for the chaos of medical insurance cards, that is, the supervision system and mechanism are not perfect, and the lack of supervision leads to the use of medical insurance cards outside the supervision vacuum. The money in the personal account of the medical insurance card is the life-saving money of the insured, which is earmarked for special purposes and cannot be used for other purposes. There are both expenses paid by individual employees and expenses allocated by the government and units as a whole. The illegal use of urban residents' medical insurance cards directly leads to the loss of medical insurance funds, which harms the public's medical insurance interests and the loss of national medical insurance funds.

Legal basis:

Article 23 of the Social Security Law of People's Republic of China (PRC)

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.