Who did the medical insurance co-ordinate the money for?

Medical insurance pays the social security fund as a whole.

The Social Security Association will co-ordinate the social security funds paid by all employers for employees in a region, some of which are medical insurance funds, which pay certain medical expenses for patients.

Medical insurance reimbursement conditions:

1. Participate in medical insurance: Only those who participate in medical insurance and pay medical insurance fees can enjoy medical insurance reimbursement;

2. Designated medical care: medical insurance stipulates designated medical institutions, and only patients who seek medical treatment in designated medical insurance can enjoy medical insurance reimbursement;

3. Reimbursement scope: medical insurance stipulates the scope of reimbursement, and only medical expenses within the scope of medical insurance can apply for medical insurance reimbursement;

4. Reimbursement ratio: medical insurance stipulates the reimbursement ratio of different medical expenses, and patients need to pay a certain fee according to the proportion stipulated by medical insurance;

5. Reimbursement limit: Medical insurance stipulates the reimbursement limit of different medical expenses, and the expenses exceeding the limit need to be paid by patients themselves;

6. Reimbursement application materials: the application materials required to apply for medical insurance reimbursement according to medical insurance regulations, including medical bills, expense lists, diagnosis certificates, etc.

The medical insurance card processing flow is as follows:

1. The insured person carries his/her valid certificate (ID card, household registration book, etc.). ) apply to the neighboring county medical insurance center, and the county medical insurance center will settle on the spot.

2. The insured person can also apply to the nearest street (town) medical insurance service point (hereinafter referred to as the service point) for handling, and the service point will be completed within 3 working days. The insured person shall go to the service point to receive the "Medical Insurance Card" within the specified time.

3. The insured may entrust others to handle it on his behalf. The customer must carry the valid certificates of himself and the insured when handling.

4. When the employer handles it centrally, it can be handled by the employer's letter of introduction and the valid certificate of the agent, and then the employer issues the medical insurance card to the insured.

To sum up, the specific appointment handling methods may be different in different regions and different medical institutions. You can consult the local medical insurance management department or specific medical institutions to understand the specific procedures and requirements for making an appointment.

Legal basis:

Article 30 of People's Republic of China (PRC) Social Insurance Law

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.