How to query the balance of employee medical insurance co-ordination account

The balance in the employee medical insurance co-ordination account has the following query methods:

1, social security website or mobile phone application

(1) Social security websites or mobile phone applications are usually provided by local social security bureaus, which can be queried by visiting websites or downloading applications and registering personal accounts.

(2) In the registration process, it is usually necessary to provide personal identity information, social security card number and other verification information. Please ensure that the information provided is accurate.

(3) After logging into a personal account, you can find the option of overall account inquiry in the personal center of the website or application or similar functional modules.

(4) The query results can include related information such as overall account balance, payment records and reimbursement.

2. Social Security Bureau window

(1) You can go to the window of the local social security bureau to consult the staff, which is usually located in the social security bureau or social security service center.

(2) When consulting at the window, you need to provide personal identification (such as ID card and social security card). ) and other relevant information that may be needed.

(3) The staff will inquire the balance and transaction records of the overall account through the internal system according to the demand and information provided, and provide relevant results.

(4) If detailed transaction records or other relevant materials are needed, specific requirements can be put forward to the staff.

3, social security agencies service hotline

(1) You can call the service hotline of the local social security agency for enquiry.

(2) When calling the service hotline, you may be asked to conduct voice navigation or wait for the staff to answer.

(3) Please prepare personal identity information and provide relevant information according to the prompts, such as ID number and social security card number.

(4) The staff will check the balance and transaction records of the overall account on the phone and provide the results.

4, social security card inquiry machine

(1) Social security bureaus or social security service outlets in some areas may have self-service inquiry machines.

(2) When using the self-service inquiry machine, you need to insert the social security card, and select the function of inquiring the overall account according to the screen prompts.

(3) Depending on the inquiry machine, you may need to enter personal identity information or social security card password for verification.

(4) The inquiry machine automatically reads the information on the social security card and displays the balance and transaction records of the whole account.

The specific operation regulations may be different in different regions, so it is suggested to know the regulations and requirements of the local social security bureau in advance in order to complete the inquiry operation more smoothly.

How to use the balance in the medical insurance pooling account;

The money in the medical insurance card pooling account can only be used when the insured has an accident within the scope of medical insurance reimbursement and applies to the medical insurance department for reimbursement.

If hospitals pay daily fees and pharmacies buy medicines, they can only use the personal account balance of the medical insurance card, and the money in the overall account cannot be used, let alone taken out. Medical insurance policies vary from place to place. In the actual medical insurance reimbursement, there will be restrictions such as deductible and reimbursement ratio, and not all expenses will be reimbursed by medical insurance. Medical insurance co-ordination refers to the medical insurance co-ordination area, which deducts the rest from the medical insurance premium paid by the employer after the employee is insured.

Legal basis:

People's Republic of China (PRC) Basic Medical Care and Health Promotion Law

Article 30

The state promotes the implementation of the graded diagnosis and treatment system for basic medical services, guides non-emergency patients to see doctors at primary medical and health institutions first, implements the responsibility system of first diagnosis and referral review, and gradually establishes a mechanism of first diagnosis, two-way referral, fast and slow division of labor and linkage up and down at the primary level, which is linked with the basic medical insurance system. The local people's governments at or above the county level shall, according to the medical and health needs of their respective administrative areas, integrate the medical and health resources organized by the local government, and establish cooperative medical service cooperation mechanisms such as medical consortia according to local conditions. Encourage medical and health institutions organized by social forces to participate in the medical service cooperation mechanism.