How to reimburse the social security card reimbursement process?

1. Show your social security card to prove your insured identity and registration when you go to a designated hospital for medical treatment. 2. Individuals do not need to pay first and then reimburse, and social security and hospitals can directly settle social security reimbursement. 3. Only at the time of checkout, the self-funded part is paid by the balance of social security card or cash, and there is a deductible line when the hospital reimburses, which means that the self-funded part needs to be paid. 4. The part exceeding the deductible can be reimbursed according to local social security regulations. The reimbursement rate varies from place to place, and different projects in different hospitals are different, about 80%. (a) the use of medical insurance card to outpatient treatment, real-time settlement, no reimbursement. (2) If you go to the outpatient clinic without a medical insurance card, please use XXX medical insurance manual (medical blueprint). 1. Reimbursement scope: general outpatient and emergency expenses incurred by the insured in designated hospitals or specialized hospitals, traditional Chinese medicine hospitals and tertiary hospitals selected by individuals. 2. Outpatient deductible line: the total emergency expenses of general outpatient service exceed 1.800 yuan in a natural year. First, how to reimburse the social security card

After the insured person takes the prescription to the hospital settlement window for pricing, he can directly swipe the social security card to pay the medical expenses within the scope of the medical insurance fund.

If some drugs in the prescription are not covered by the medical insurance fund, the insured person needs to pay cash.

2. What if the social security card has not been activated for two years?

If the party concerned activates at the local designated bank outlet, the use of the new social security card will be restricted if it is not activated within 6 months after receiving the card.

The social security card holder shall activate the social security card within 6 months after receiving the card, during which the medical insurance card can still be used normally. After activating the social security card, the original medical insurance card will automatically become invalid. If it is not activated within the time limit, the original medical insurance card will be restricted.

For those who are overdue, the insured should activate the social security card at the corresponding bank with valid ID and social security card as soon as possible. After activating the social security card, the balance of the medical insurance account will be automatically transferred to the social security card, and the medical insurance account will return to normal state.

The list of units whose cards have been stopped can be found in the social security card column of the human resources and social security network. After the medical insurance account is activated, it will return to normal state, and the new social security card can be used without loss or other influence.

The activation time of the new social security card is within 6 months from the date when the insured or the insured unit handles the card from the social security card processing window.

To sum up, social security card reimbursement means that the insured person goes directly to the hospital window to get the registration form and pays with the social security card. If we apply for a social security card and it is not activated within two years, we need to go to the nearest designated bank to activate it.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.

Derivative problem:

Title:

How to reimburse the social security card for medical treatment, and what is its reimbursement process?

Content:

How to reimburse the social security card for medical treatment?

Related questions 1: What diseases can be reimbursed by social security cards?

A: All diseases can be reimbursed by social security card, and the reimbursement of social security card is determined according to different amounts of different medical items. It has nothing to do with any disease.

How to reimburse social security card for medical treatment related question 2: How is the reimbursement amount of social security card for urban employees stipulated?

Answer: The outpatient and emergency medical expenses that meet the requirements of social security (1.1-12.31) and exceed 1800 yuan every year will be reimbursed by 50% in designated non-community medical institutions and 70% in the community. If you reimburse for the first time this year, the medical expenses incurred will be RMB 2,000 after deducting social security self-funded items and self-funded items, of which 1.800 yuan cannot reimburse, which is your personal burden. If 200 yuan is multiplied by 50% (non-community) or 70% (community), you will get 1, 000 yuan or 1, 400 yuan's reimbursement fee. Social security can reimburse you up to 20 thousand.

How to reimburse social security card for medical treatment 3: How is the amount of social security card medical reimbursement for retired employees under 70 years old stipulated?

Answer: 70% of outpatient and emergency services are paid by social security, 15% by retirement supplementary insurance, and (2000- 1300)X85% = 595 yuan.

How to reimburse the social security card for medical treatment? Question 4: How is the medical reimbursement amount of social security card stipulated for employees?

A: I was hospitalized. The first hospitalization was 1300, and later it was more than 650. Medical expenses below 30,000 yuan shall be reimbursed by 85% (level III hospital, the same below), 30,000-40,000 yuan shall be reimbursed by 90%, and more than 40,000 yuan shall be reimbursed by 95%, with a maximum payment of 70,000 yuan. If the maximum annual payment exceeds 70,000 yuan, it will be reimbursed at the rate of 70%, and the maximum annual social security payment is170,000 yuan (excluding outpatient and emergency services).

How to reimburse the social security card for medical treatment? Question 5: How is the medical reimbursement amount of social security card stipulated for employees?

Answer: If you are a retired employee, the reimbursement rate for medical expenses below 30,000 yuan is 9 1% (tertiary hospital, the same below), 94% for 30,000-40,000 yuan, and 97% for 40,000 yuan or more. The upper limit of payment is the same as that of employees. In addition, except for the extra personal burden (1300 or 650), the retirement part will be reimbursed by 50%.

Do you know how to reimburse the social security card for medical treatment? In addition to understanding how the social security card is reimbursed for medical treatment, I remind you again that the payment period of the social security card for medical insurance is at least 15 years. Only after reaching the payment period can you enjoy medical insurance after retirement.