Job Recruitment Website - Social security inquiry - How to choose the general outpatient service of medical insurance in Guangzhou?
How to choose the general outpatient service of medical insurance in Guangzhou?
1. What information does Guangzhou need to provide when applying for outpatient service for the first time, and where to apply?
Reply: Those who apply for outpatient service for the first time need to bring their medical insurance (social security) card, valid ID card and recent 1 year/small color photo, and the medical institution selected by the pre-selected outpatient service will fill out the "Guangzhou Social Medical Insurance Insured Outpatient Registration Card".
Two, to participate in medical insurance for urban workers, how to choose the first visit, how many clinics can I choose?
Reply: In addition to seeking medical treatment in the corresponding specialist outpatient department of the designated specialist hospital, the insured urban workers should also go through the procedures of selecting points in the designated medical institutions in this city, and choose 1 community health service institutions (or designated primary medical institutions) and 1 other medical institutions as the designated medical institutions for outpatient service. After handling the designated outpatient service, in principle, it will not be changed within one social security year.
Three, the new social security annual insured whether to re apply for outpatient selection procedures?
Reply: No need. The procedure for selecting the original point has been handled. If the insured person does not intend to change the original selected hospital in the new social security year, he only needs to continue the general outpatient (emergency) consultation in the original selected hospital, and confirm the hospital as the selected medical institution for outpatient service in the new year at the time of settlement; If the insured wants to change the selected hospital in the new social security year, he needs to make a choice.
Extended reading of related knowledge: how to reimburse outpatient medical insurance
Medical insurance for residents:
In an insurance year, if the general outpatient expenses of insured residents in designated outpatient medical institutions are within 100 yuan (inclusive), the residents' medical insurance fund will pay 30% and individuals will pay 70%; Personal consumption exceeds 100 yuan.
Medical insurance for urban workers:
The personal account on the medical insurance card of the insured person insured by the unit is not paid by himself; Since last year, the medical insurance card of flexible employees also has a monthly personal account of 15 yuan, which can be used to pay outpatient expenses, which is equivalent to outpatient reimbursement (unless the insured belongs to civil servants or the unit has another reimbursement policy).
Medical insurance hospitalization, show the medical insurance card, read the card into the medical insurance system, pay the deposit (usually the threshold fee), and enter the fee into the system. The system automatically classifies it as self-funded, Class A, Class B, etc. Class B should be paid 10% first, and then enter the basic medical care. According to the annual number of inpatients (more than 1 threshold fee halved), hospital level (different threshold fees, overall planning,
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