How to reimburse the social security card for medical treatment?

The designated hospital for medical treatment shows the social security card to prove the identity and registration of the insured, and there is no need to pay for it before reimbursement. Specifically, the insured person holds a social security card to register at the registration office; The insured person goes to the department to see a doctor with a registration form, and writes a prescription to pay the fee after seeing the disease; The insured person takes the prescription to the settlement window for pricing, and the social security card can directly settle the social security reimbursement part; If some drugs in the prescription are not covered by medical insurance, the self-funded part will be paid by the balance of social security card or cash.

Social security card to the hospital reimbursement process;

1, the holder of the medical insurance card shows the medical insurance card to the designated hospital to prove the insured identity;

2. At the end of the patient's discharge or diagnosis and treatment, the part paid by the individual shall be paid by himself with a medical insurance card or cash;

3. In addition, the part of medical insurance reimbursement is settled by medical insurance and hospitals, and individuals do not need to pay first and then reimburse.

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. Then all employers will pay social insurance for the workers, including medical insurance. When the workers themselves are sick or need medical treatment, they can also be reimbursed through medical insurance.

Social security payment period

1, endowment insurance. According to the regulations, individuals who participate in the basic old-age insurance can receive a monthly pension if their cumulative payment period reaches 15 years and reach the legal retirement age;

2. Medical insurance. For the minimum payment period of medical insurance, the payment period will be different according to different regional policies. Generally, it is 30 years for male employees and 25 years for female employees. In economically developed areas, the payment period will be shorter, such as Beijing, where male employees are 25 years and female employees are 20 years;

3. Maternity insurance. Employees who enjoy maternity insurance-related benefits shall comply with national, provincial and municipal family planning regulations. According to different local policies, there may be differences in different regions. For example, the insured person of Changsha maternity insurance must pay for more than 10 months continuously and be in the insured state to enjoy maternity treatment;

4. Unemployment insurance. Pay unemployment insurance 1 year or more to enjoy unemployment insurance benefits;

5. Work injury insurance. As long as an industrial accident occurs within the specified working hours, you can enjoy industrial injury treatment.

In short, all employers need to pay social insurance for workers, so when workers are sick or hospitalized, they can also be reimbursed through medical insurance in social insurance, so the specific reimbursement ratio will be determined according to local standards, and this provision is also to better protect the legitimate rights and interests of citizens.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.