Shenzhen medical insurance card how to use

One, how to use the medical insurance card

Currently China's social health insurance card is mainly used in four areas, the first payment of designated pharmacies to purchase drugs, the second payment of outpatient costs, the third payment of hospitalization treatment costs, the fourth health insurance balance inquiry and transaction inquiries. The specific use methods and processes are as follows:

Method 1: Participants with the card go to the designated health insurance retail pharmacies to buy drugs, direct settlement.

Method 2: Participants with the card go to designated outpatient institutions to purchase medicines and settle the bill directly.

Method 3: The insured person goes to the designated hospital with his ID card and medical insurance card for hospitalization and is directly reimbursed within the scope.

Method 4: The insured person with ID card and medical card can go to the social security organization or medical insurance business bank branch to check the balance or print the transaction record.

Two, for the health insurance fixed method

1, in the fixed hospital when you present the card to prove the identity of the insurance and registration, individuals do not need to pay first and then reimbursement, directly from the medical insurance and the hospital settlement of the reimbursement of the medical insurance, only in the checkout, the part of the out-of-pocket payments by their own medical card balance or cash payment.

2, hospitalization reimbursement, there is a starting line (the starting standard is generally 10% of the average annual salary of the city's employees in the previous year), that is, the starting line of money to pay for their own, more than the starting line of the part of the reimbursement of the local health insurance regulations, reimbursement rates are not the same everywhere, and different hospitals and different projects are not the same, about 80%, the details of the local labor security online to learn. The local labor security network to understand.

Three, how to query the money in the health insurance card account

1, online query: log on the official website of the Social Security Bureau of the city, enter the personal query platform, enter your personal account number and password, query personal information;

2, pharmacy query: after the end of the purchase of drugs and consumption, you can be in the health insurance pharmacy, hospitals, health insurance card balance inquires, but pay attention to the fact that you have to consume before you can query;

3, telephone query: you can directly call the corresponding bank's customer service phone number, or call the social security hotline 12333, medical insurance balance query.

The Social Insurance Law of the People's Republic of China

Article 28

Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, and medical service facility standards, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

The Social Insurance Law of the People's Republic of China

Article 29

The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration agencies with the medical institutions and drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.