How to use medical insurance for the first time?

1, through WeChat online processing, pay attention to the official account of medical insurance WeChat to complete real-name authentication, and handle online number selection in real time;

2. Go to the outpatient clinic of the designated medical institution, and show the social security card or medical insurance card, valid ID card and one-inch color photo to the relevant window of the hospital before registering for medical treatment.

How to use the medical insurance card for the first time:

First, under normal circumstances, when you need to be hospitalized due to illness, you can go to the designated hospital with the medical insurance card and medical records, and you can use the medical insurance card for settlement. That is to say, some of them are paid by themselves at their own expense, and some medical insurance centers and hospitals reimburse and settle accounts.

Second, if you transfer from a designated hospital to a secondary or tertiary hospital, the medical insurance card will be settled, as above.

Three, critically ill, in the designated hospital emergency treatment, within 5 days to the city medical insurance center for emergency rescue disease identification, identified as emergency rescue disease, you can use the medical insurance card in the rescue hospital settlement.

Four, transferred to other places for treatment, with the consent of the hospital and medical insurance center, for referral procedures. The expenses incurred in the field shall be settled by the individual at his own expense, and after the diagnosis and treatment, the community labor security workstation shall prepare the materials for reimbursement.

Five, do special provisions of the disease (cancer, uremia, organ transplantation) that, in hospital, the same as above with medical insurance card settlement. The medical insurance card is still used when taking medicine out of the clinic, and the bills settled by individuals at their own expense will be reimbursed by the community labor security workstation this year.

Six, there is a special situation, that is, the need for cataract phacoemulsification and intraocular lens implantation, choose a capable hospital (not necessarily a hospital designated by yourself). No hospitalization, direct outpatient surgery, still using the medical insurance card, first settled at their own expense, and reimbursed by the community labor security workstation after diagnosis and treatment.

The proportion of reimbursement for medical treatment in designated hospitals is much higher than that in other medical institutions.

"Other residents" in medical insurance for urban and rural residents, such as elderly residents and non-employees. If you don't fix it, You can't even enjoy the reimbursement of overall treatment.

Legal basis:

Article 14 of the Interim Measures for the Fixed-point Management of Medical Security in Medical Institutions strictly implements the medical insurance agreement, makes reasonable diagnosis and treatment, charges reasonably, strictly implements medical insurance drugs, medical consumables and medical service items, gives priority to the use of medical insurance drugs, controls the proportion of patients paying their own expenses, and improves the use efficiency of medical security funds. Designated medical institutions shall not provide medical insurance settlement for non-designated medical institutions.

The unpaid expenses of the agency, the quality deposit deducted by the designated medical institutions according to the medical insurance agreement and the liquidated damages paid by the designated medical institutions shall not be treated as arrears of medical insurance.