Is social security compulsory or voluntary?

Social insurance is compulsory when the company is insured; Individuals voluntarily participate in insurance, but also in order to obtain some personal protection insurance.

Voluntary insurance means that on the basis of equality and mutual benefit, equal value and compensation, the insured and the insurance company voluntarily conclude an insurance contract and establish an insurance relationship through consultation.

The so-called compulsory insurance refers to the insurance that all units or individuals within the prescribed scope must participate whether they like it or not according to the relevant laws and regulations promulgated by the state.

Social security reimbursement conditions:

1, the insured must have gone through the formalities of social insurance and paid the medical insurance premium in full. This means that only those individuals who formally join the social security system and pay medical insurance premiums on time are eligible for reimbursement of medical expenses.

2, the insured must choose designated medical institutions when seeking medical treatment. This means that the medical expenses incurred can only be included in the scope of reimbursement if they are treated in a medical institution designated by the social security department. This is helpful to standardize medical behavior and ensure the rational distribution of medical resources.

3, the insured medical expenses must conform to the basic medical insurance payment scope and standard. Specifically, medical expenses must be in the list of medical insurance drugs, the list of diagnosis and treatment items and the standard list of medical service facilities, and meet the relevant reimbursement ratio and limit requirements. The social security department will not reimburse expenses that are beyond the scope of the catalogue or do not meet the reimbursement standards.

4. When reimbursing medical expenses, the insured usually needs to provide a series of relevant supporting materials, such as medical expense invoices, diagnosis certificates, medical records, etc. These materials are an important basis for the social security department to review the reimbursement application, so the insured personnel need to keep them properly and submit them on time.

To sum up, the conditions of social security reimbursement cover many aspects, such as enrollment procedures, choice of medical treatment, cost range, and proof materials. These conditions form the basic framework of social security reimbursement and ensure the fairness and effectiveness of the social security system. At the same time, the insured also needs to understand and abide by these conditions, so as to be able to obtain reimbursement of medical expenses smoothly when necessary.

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.