How to check the balance of personal medical insurance card

Inquiry method of medical insurance card balance

1, social security center query

If you don't know your social security account number, you can bring your ID card to the business hall of social insurance agencies in various districts to inquire.

If you want to be more calm when the accidents and risks of life come, you must complete four major types of insurance. Click to learn: "What commercial insurance should I buy with social security?" 》

2. Online inspection

Log in to the city's labor security network or social insurance business website, click the "Personal Social Security Information Inquiry" window, and enter my ID card and password (the password is your social security number or the date of birth of your ID card) to inquire about my insurance information.

3. Telephone consultation

Call the labor and social security comprehensive service telephone number "12333" for policy consultation and information inquiry.

4. Touch screen query

If there is a social insurance touch screen inquiry system in the business hall of social insurance agencies in each district, swipe your card or enter the card number or ID number according to the screen prompts for inquiry.

Payment standard of medical insurance

(1) Personal accident insurance is 80,000 yuan, and the proportion of compensation within the scope of insurance liability is 100%. The medical insurance is 25,000 yuan, the proportion of outpatient medical compensation is 90%, and the compensation amount per person per day does not exceed 150 yuan; Hospitalization does not exceed 1 1,000 yuan, and the compensation ratio is 1 1,000%; The hospitalization expenses 1 10,000 to 25,000 yuan, and the compensation ratio is 90%.

(2) When the insured is in the designated outpatient service, all the expenses will be settled by himself, and the insurer will review the compensation according to the regulations, but the original prescription and medicine fee receipt should be provided.

(3) The insured shall use drugs according to the free medical standard provided by the health department and social labor insurance company regardless of outpatient or hospitalization treatment.

(4) When applying for compensation for medical expenses from the insurer, the insured shall provide the following documents: original outpatient medical records and attached prescriptions, copies of inpatient medical records (including home page, records, discharge summary, long and short doctor's orders), and original medical expense receipts.

(5) When the insured applies for compensation for outpatient medical expenses, he should file a claim according to the date of outpatient service, and the date of the medical expenses document of this claim must be after the date of the last claim, otherwise, the insurer has the right to refuse compensation. If the insured practices fraud, the insurer may refuse to pay part or all of the medical expenses according to the seriousness of the case.

(6) When the insured applies for compensation for hospitalization medical expenses, the insurer shall provide services according to the following provisions, and send someone to the contact person designated by the insured to receive the compensation application materials on the agreed date every month, and the insurance premium shall be settled once a year.

Through the above introduction, we already know the inquiry method of medical insurance. We can use the money in the medical insurance card to go to the pharmacy to buy some medicine for ourselves. The medical insurance card still plays a great role.