Job Recruitment Website - Social security inquiry - Can Henan medical insurance card be used in different places in the province?

Can Henan medical insurance card be used in different places in the province?

Yes, you can. Henan medical insurance card is universal in the whole province and can be settled directly in medical hospitals. Secondly, according to the plan of the National Bureau of Human Resources and Social Security, it is estimated that medical insurance will be connected to the whole country in 2024, and it will be universal at that time.

From July this year 1, the outpatient mutual assistance guarantee for employees was fully implemented in Henan Province. By including the general outpatient expenses in the overall fund reimbursement, the burden of outpatient medical expenses of insured persons, especially the elderly, is reduced, the guarantee function of medical insurance fund is further strengthened, and the use efficiency of medical insurance fund is improved.

The implementation of this reform is mainly to establish general outpatient co-ordination, and to include the medical expenses in the outpatient medical insurance catalogue of the insured into the reimbursement scope of the co-ordination fund. After the reform, the reimbursement rate of outpatient medical expenses in our province's outpatient medical insurance catalogue can reach more than 50%, and the annual reimbursement limit of employees is about 1500 yuan, and the annual reimbursement limit of retirees is about 2,000 yuan. According to statistics, the annual per capita outpatient medical expenses of insured workers in the province are about 1900 yuan.

Social security includes endowment insurance, medical insurance, unemployment insurance, industrial injury insurance and maternity insurance, among which medical insurance is the most frequently used in daily life.

Medical insurance reimbursement must meet two preconditions: designated hospitals and expenses in three directories.

① Designated hospitals

Designated hospitals refer to the list of hospitals with social security medical qualifications published by the social security department within its jurisdiction, and the insured chooses the hospitals for medical treatment according to the published list.

Medical insurance designated hospitals are divided into first-class hospitals and second-class hospitals, among which the first-class hospitals are divided into first-class, second-class and third-class hospitals. The higher the level, the higher the level of the hospital.

In general, each insured person can choose 4 designated hospitals for medical insurance, including 1 compulsory community hospital.

(2) The cost of the three catalogues.

The three catalogues include medical insurance drugs catalogue, diagnosis and treatment items catalogue and medical service facilities catalogue.

In the medical insurance drug list, only drugs listed in Category A can be reimbursed100%; Class B drugs require individuals to pay a certain proportion, and the rest can be reimbursed.

The catalogue of diagnosis and treatment items includes necessary, safe, effective and appropriate medical treatment items, and the charging standard has been formulated by the price department. But it does not include physical examination, orthodontics and other special diagnosis and treatment items.

The catalogue of medical service facilities refers to the service facilities provided by designated medical institutions and necessary in the process of receiving diagnosis, treatment and nursing.

Only when these two conditions are met can your medical insurance be useful, so you should also pay attention when buying medicine.

Legal basis:

People's Republic of China (PRC) social insurance law

Twenty-third employees should participate in the basic medical insurance for employees, and the employer and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Thirty-second individuals across the overall regional employment, the basic medical insurance relationship with my transfer, the cumulative payment period.