Is social security medical insurance?

The difference between social security and medical insurance: medical insurance is not equal to social security, but a part of social security, which is the abbreviation of medical insurance. Social security includes endowment insurance, medical insurance, industrial injury insurance, unemployment insurance and maternity insurance. Social security is the abbreviation of social insurance, and the main items of social security include old-age social insurance, medical social insurance, unemployment insurance, industrial injury insurance, maternity insurance and so on. That is, the "five risks" in the "five insurances and one gold" that we often say. Medical insurance is the abbreviation of medical insurance, which is social insurance provided by society or enterprises with necessary medical services or material help when employees are sick, injured or give birth. The medical expenses of employees are shared by the state, units and individuals to reduce the burden on enterprises and avoid waste.

The difference between medical insurance and social security

1, with different concepts.

Social security is the abbreviation of social insurance, which is a social and economic system that provides income or compensation for people who have lost their ability to work, are temporarily unemployed or suffer losses due to health reasons. The main items of social insurance include old-age social insurance, medical social insurance, unemployment insurance, industrial injury insurance and maternity insurance. Medical insurance is the abbreviation of medical insurance, which is the insurance to compensate the medical expenses caused by diseases. Social insurance in which employees are provided with necessary medical services or material assistance by society or enterprises due to illness, injury or childbirth.

2. Different roles

Social security can provide economic security for the insured within the scope of basic medical insurance, basic endowment insurance, industrial injury insurance, unemployment insurance and maternity insurance. Because social insurance is a government act, it is mandatory. Employers (or institutions) should sign labor contracts when hiring employees, and employers (or institutions) should handle social insurance for employees, which is the social responsibility and obligation of employers. Individuals can participate in social security as freelancers, and then they have to fulfill the obligation of timely, full and continuous payment. When the insured encounters the above problems, he can get relevant economic security. Medical insurance is mainly the guarantee that patients can pay medical expenses when they are sick.

Legal basis:

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

Article 2 stipulates that the state shall establish 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 in case of old age, illness, industrial injury, unemployment and maternity.

At present, all provinces and regions in China have been networked with the national settlement system for medical treatment in different places and run online, covering all personnel participating in the basic medical insurance and the new rural cooperative medical system; Meet the requirements of provincial and inter-provincial medical expenses in different places to achieve direct settlement.

Direct settlement of cross-provincial medical treatment in different places means that when eligible insured persons seek medical treatment in different provinces, they only need to pay the expenses that need to be borne by the individual to the medical institution where they seek medical treatment, and other expenses will be settled with the medical institution according to the agreement after being audited by the social security agency where they seek medical treatment, and the insured place and the medical institution will be settled on a monthly basis.

Residents who apply for direct settlement of medical treatment in different provinces need to go to the agency in the insured place for the record, choose designated medical institutions across provinces, and the insured persons with employee medical insurance and urban and rural residents' medical insurance can carry social security cards. Residents who participate in the new rural cooperative medical system can bring their ID cards or certificates of the new rural cooperative medical system to designated medical institutions for medical treatment and realize direct settlement.