The social security of the unit has been paid, why can't the medical insurance be used?

You may pay second-class social security, so some hospitals can't use medical insurance.

Legal analysis

Maybe the company paid you not employee insurance, but resident insurance. Medical insurance is divided into employee insurance and resident insurance. The cost of residents' insurance payment is low, and the cost of employees' insurance payment is high. The medical security benefits enjoyed by the two are also different. The reimbursement standard for employee insurance is higher than that for resident insurance. If the company pays your resident insurance, you can appeal.

The social security card is not activated.

For some on-the-job employees, many of them need to be activated independently to get social security cards. You can call the social security service hotline 12333 to activate. If it is not activated, it cannot be used even if it is paid normally.

The social security card is in the state of "before loss reporting"

The social security card is a voucher for everyone to enjoy social security benefits. In some cases, when the social security card is lost, we need to report the loss and reissue it. The social security card will be in the state of "pre-loss reporting" after pre-loss reporting 10 days. If we happen to find a social security card that has been reported as lost in advance during this period, the social security card will still be unusable if it is unsealed within this 10 day period.

Improper use of social security card

1. The drugs purchased are not covered by medical insurance reimbursement.

Medical insurance reimbursement is limited, and not all medicines can be reimbursed.

The Social Security Law stipulates that medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, standards of medical service facilities, emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

2. Failing to seek medical treatment or purchase medicines at designated medical institutions.

Only when you see a doctor and buy medicine in a designated medical institution can you be reimbursed, and you go to a non-designated medical institution. You can't use medical insurance to reimburse, you have to bear it all yourself.

3. The expenses are not covered by the basic medical insurance fund.

legal ground

According to the provisions of Article 30 of the Social Insurance Law, 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;

(three) shall be borne by public health;

(4) Go abroad for medical treatment. If you are in the above situation, the social security card cannot be used either.