Job Recruitment Website - Social security inquiry - Can primary school students use medical insurance cards to buy medicines for reimbursement?
Can primary school students use medical insurance cards to buy medicines for reimbursement?
Reimbursement scope of children's medical insurance
1. Outpatient medical expenses: After purchasing children's medical insurance, you can reimburse the insured for outpatient medical expenses incurred in treating common diseases or serious diseases in designated medical institutions. Among them, "serious diseases" mainly include leukemia, hemophilia, malignant tumor, aplastic anemia and organ transplantation.
2. Special drug expenses: insured children can apply for reimbursement of children's medical insurance if they have special drug expenses that meet the requirements within a medical year.
3. Hospitalization medical expenses: If the insured child needs emergency treatment due to illness, if the hospital being treated is a medical institution established by the relevant department, the hospitalization medical expenses incurred during this period can be reimbursed according to the prescribed proportion. The medical expenses incurred must conform to the basic medical insurance and medical insurance for serious illness of students and children, the list of medical treatment items and the scope of medical service facilities.
To sum up, primary school students' medical insurance cards can be reimbursed for buying medicines.
Legal basis:
People's Republic of China (PRC) social insurance law
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 30
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(3) borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
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