When can medical insurance in social security be used?

Medical insurance refers to the basic medical insurance premium paid in full and on time by employers and employees according to the principle of compulsory social insurance through national legislation. If it is not paid in full and on time, the basic medical insurance fund will not pay its medical expenses regardless of individual accounts. Take the proportion of medical insurance payment in Beijing as an example: the employer pays 10% of its total payment base every month, and the employee pays 2% of his salary as a whole for serious illness+3 yuan.

Conditions for the use of medical insurance:

1, emergency treatment:

The accumulated medical expenses of employees who meet the basic requirements of medical insurance coverage during the year (65438+ 10/~ 65438+February 3 1) exceed 2000 yuan.

2. Outpatient treatment of three special diseases:

When the insured suffers from malignant tumor radiotherapy and chemotherapy, renal dialysis, kidney transplantation and other diseases and needs to take anti-rejection drugs in the outpatient department, the second-and third-level designated hospitals where the insured is located will issue the Certificate of Disease Diagnosis, fill in the Declaration and Approval Form for Special Diseases of Medical Insurance, and report it to the District Medical Insurance Center for approval and filing. Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement.

3. Hospitalization.

After paying medical insurance for 20 years, you can enjoy medical insurance reimbursement after retirement.

Medical insurance reimbursement process: