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Social security has stopped paying the money in the medical insurance card can be used?
Social security and Medicare are two different social security systems, social security payment suspension will not affect the use of Medicare card and reimbursement.
Specifically:
1, the source of funds of the health insurance card: the health insurance card is stored in the individual health insurance account of the funds, by the individual and the unit in accordance with the prescribed proportion of the payment of health insurance fees. Even if the social security payment is suspended, the individual and unit health insurance contributions will not be affected, so the funds in the medical insurance card can still be used.
2. The scope of use of the medical insurance card: The medical insurance card is used for reimbursement and settlement of medical expenses, and has nothing to do with social security contributions and treatment. In the reimbursement of medical expenses, you can use the funds in the medical insurance card to pay, and social security contributions have no direct relationship.
The use of the medical insurance card is as follows:
1, the insured person in the designated hospitals when presenting the medical insurance card to prove the identity of the insured person and registration, the individual does not need to pay and then reimbursement, directly from the medical insurance and the hospital settlement of the medical insurance reimbursement of part of the only in the billing of the out-of-pocket expenses by their own with the balance of the medical insurance card or cash payment;
2, can be used to buy medicines at designated pharmacies. Used to buy drugs in designated pharmacies, in line with the basic medical insurance drug catalog in accordance with national regulations from the basic medical insurance fund to pay.
In summary, the use of health insurance card and medical expense reimbursement still need to comply with the health insurance policy and regulations, such as the scope of reimbursement, reimbursement rate, reimbursement standards, etc., so in the use of health insurance card need to understand the relevant regulations and requirements, to avoid unnecessary trouble.
Legal basis:
Article 8 of the Social Insurance Law of the People's Republic of China
Medical expenses incurred by insured persons at the agreed medical institutions, which are in line with the standards of the basic medical insurance drug catalog, diagnostic and therapeutic items, and medical service facilities, will be paid out of the basic medical insurance fund in accordance with national regulations. Participants in need of emergency treatment, rescue, can be in a non-agreement medical institutions; rescue must be used for the drugs can be appropriately relaxed scope. Participants in the emergency, rescue medical services specific management by the coordinating region according to the actual situation in the local development.
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