Medical insurance individual account related words and phrases

1If I have been paying health insurance premiums for 10 years and I have paid $40,000 in personal contributions and the company has paid $160,000 for me, how much money will I have on my health insurance card each month when I retire?

That is, the accumulated balance and interest before retirement.

2If I don't use the money on my card one year, is it automatically transferred to the next year? For example, if I don't spend $2,000 on my card each year, will my card have $4,000 on it next year? If a person dies, does the money go to the state?

Yes, the card balance can be calculated cumulatively.

The money in the card will always be your own and will not go to the state, only the amount in the integrated account cannot be withdrawn.

3What is the process of reimbursing the hospitalized portion of the money if I am hospitalized in a health insurance hospital? For example, I was hospitalized and spent 30,000 yuan on surgery, but the balance on my health insurance card is only 2,000 yuan because the hospitalized portion of the money will not be on my health insurance card, so how do I get reimbursed for my hospital expenses? I don't know if that makes sense

It's best not to use the money on your card at this point, because you can apply for reimbursement from a pooled account if you're hospitalized.

Enrolled in medical insurance for six months or more than a year can be eligible for reimbursement, provided that you need to go to a designated hospital.

Medical insurance reimbursement, you need to go to the local medical management center or designated medical institutions health insurance checkout window reimbursement.

The procedures include: ID card, health insurance card, original invoice, list of medication, medical records and other materials.

Medical insurance reimbursement is based on a percentage, usually around 70%. The percentage and amount of reimbursement is related to your examination and medication, medical grade and other factors. An example will make it clearer: Class A drugs are eligible for full reimbursement, while Class C requires full out-of-pocket expenses, and Class B is reimbursed at 80 percent, with a 20 percent out-of-pocket rate.

Someone who spends a total of 9,000 yuan on medicines, and the reimbursement formula is like this: (9,000-500 "starting line" - out-of-pocket expenses) * 70%, if the out-of-pocket medicines take up a large proportion of the reimbursement down is not much of an amount.

Additionally it is important to go to a designated medical institution.

4 paid ten years of health insurance costs company and personal a **** paid 200,000 then I see the doctor later is not only spend this 200,000? More than that is not the state does not care? So in the end, I still use their own money in the doctor? Or if I pay 200,000 dollars a ****, will the state reimburse me 300,000 or 400,000 dollars according to a certain formula? What percentage should it be, if any? How does the formula work? How much will I end up spending on medical care for the 200,000 I paid?

I can see you're pretty good at this math.

But the fact is you don't pay the 200k, the company pays most of it.

On the other hand, the reimbursement is capped every year, and the sum of 20 years is certainly much more than that $200,000, based on the average social wage.

5If I pay $200,000 and the state gives me a $300,000 credit for medical expenses, is that money reflected on my health insurance card? Let's say I pay 200,000 the state will give me medical care at 1.5 times the amount of money will this money not be proportionally increased in both my personal payment portion (the balance portion of the card) and the hospitalization portion? The result is that my annual medical card balance becomes 2000X1.5=3000

Medicare and other social security is just a social welfare, not that you can get much profit from it, after all, the country introduced social security is the purpose of universal enjoyment, to achieve equalization.

Also, your personal account can be accumulated and interest is calculated.

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