Job Recruitment Website - Social security inquiry - Can I be reimbursed for hospitalization without paying social security and only paying medical insurance?
Can I be reimbursed for hospitalization without paying social security and only paying medical insurance?
1, you can only pay medical insurance but not social security, and both medical insurance and social security are voluntary;
If you only want to get medical insurance, you can only choose medical insurance payment;
2, medical insurance is not limited to hospitalization reimbursement, some drugs and emergency expenses in general outpatient clinics can also be reimbursed;
3. Buy a medical insurance card in a hospital outpatient or a designated pharmacy, and the eligible expenses can be settled directly;
4. Medical insurance has just been paid in the current month and will take effect in the following month, so hospitalization in the current month is generally not reimbursed.
You can only enjoy medical insurance benefits if you have paid for 6 months or 1 year continuously.
Types and coverage of social security:
1, old-age insurance: providing basic living security for retired people;
2. Medical insurance: used to reduce the burden of medical expenses when an individual is sick;
3. Work-related injury insurance: providing medical expenses and living allowances for workers with work-related injuries;
4. Unemployment insurance: providing individuals with basic living expenses and vocational training during unemployment;
5. Maternity insurance: give certain financial subsidies to female employees who are pregnant and give birth.
To sum up, you can choose to pay only medical insurance and not social security. Medical insurance can not only reimburse hospitalization expenses, but also reimburse some drugs and emergency expenses in general outpatient clinics. At the same time, the medical insurance card can also be directly settled in outpatient or pharmacy. However, it is generally impossible to reimburse hospitalization expenses in the month when medical insurance has just been paid, and it takes 6 months or 1 year to enjoy medical insurance benefits.
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.
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