How to use the social security card to see a doctor in Shenzhen

Shenzhen social security card will include health insurance, of course, provided that the unit to you to participate in health insurance, health insurance card is what we usually say social security card. As we participate in different forms of health insurance, the use of social security to see the doctor is not the same. Most of the non-deep households participate in migrant workers' medical insurance or hospitalization insurance, deep households are required to participate in comprehensive medical insurance, there are some non-deep households to participate in comprehensive medical insurance.

Migrant workers' health insurance (also called: cooperative medical care, laborers' medical care), in the bound social health center to see the outpatient general illnesses can be swiped, some of the costs are not in the scope of social security can not be swiped, to their own cash.

Hospitalization insurance, in the bound social welfare center to see the outpatient can also swipe the card, the use of the same method as described above. Migrant workers' health insurance or hospitalization insurance, outpatient swipe card, not deduct the money in the social security card (no personal account), but with the outpatient fund.

Comprehensive medical insurance to see outpatient general illness, is to swipe the card, with the money on their own account (comprehensive health insurance is a personal account), if the money in the health insurance personal account is exhausted, you can only own cash. Except for outpatient major illnesses, you can only use social security to keep track of your account and pay little or no money out of your own pocket. These major illnesses are regulated, now Shenzhen regulations 17 kinds of major outpatient diseases can use social security to see, and to see in the social security designated hospitals to see. So it's better to get sick less often, good health is the greatest wealth.

Then again, hospitalization, hospitalization can use social security, the reimbursement rate of several kinds of health insurance is somewhat different, but the difference is not very big. Hospitalization, some of the money is not spent on their own personal accounts, as long as in the hospitalization of the starting line above the maximum payment limit of the integrated fund below the part of the basic medical insurance major illnesses by the integrated fund to pay the full amount. The hospital will keep the account first, and then the hospital will settle with the social security bureau.

1. Is the cost of medical treatment fully deducted from the social security card?

Is the cost of medical treatment fully deducted from the social security card, or is it partly deducted from the social security and partly paid in cash?

Answer: If it is a deep household, outpatient expenses can be deducted in the social security card, but some drugs in the social security can not be deducted, you must pay cash;

Not a deep household, but if the company gave you the purchase of a comprehensive health care this kind of. The cost of seeing a doctor can be deducted from the social security card.

If not a deep household, and the company only purchased hospitalization insurance this kind. You can't use it for outpatient visits, of course. Only in the hospitalization can be used.

2. If you are a temporary resident, is it better to buy hospitalization insurance? Or is it better to buy a comprehensive one? Is it better for the company or for the individual?

A: Comprehensive good, good for individuals, but expensive Oh, the state of this is not mandatory, so the general company is not willing to provide this Oh.

Even if it is a deep household, if it is outpatient or hospitalization in the medicine involved in the non-social security drugs, then you have to pay out of pocket Luo. To understand the detailed difference between several kinds of health insurance, please see "in Shenzhen to buy what health insurance more cost-effective"

3, the father will come from the mainland, ask whether the husband's health insurance card for the old father hospitalization, has anyone tried?

A: This is something against the rules.

Response of the netizens, just for reference: outpatient should be able to, that is, in the North University Hospital have tried. My LG ran out of money on his card and told the doctor to use my social security card and it would be just as good to prescribe my name. My mother-in-law also used my card for a tooth extraction. For doctors, they don't care what method you use to pay as long as they receive the money. Haven't tried hospitalization though, you might ask the doctor who saw your dad.

4. Will the money in my social security card be deducted from my doctor's visit with social security?

A: Depending on which kind of medical insurance you are, hospitalization insurance can also see the outpatient card, but it is not deducted from the money in the social security card, but with the outpatient fund, if you can't go to the fund part of the cash to be used.

If it is a comprehensive health insurance, there is a medical personal account in the social security card, using social security to visit the outpatient clinic will be deducted from the money in the social security card, that is, the money in the medical personal account.

What I said above is a general outpatient clinic, if you are hospitalized, it is not deducted from the social security card, as long as the hospitalization starting line above the part of the maximum payment limit of the integrated fund, by the basic medical insurance fund to pay the full amount of the major illnesses.

5. How can I check the details of my medical expenses?

A: People who participate in the comprehensive health insurance, health insurance balance can be queried online, personal social security inquiry results have a health insurance balance. Online can not query the details of the cost of seeing a doctor. To the window of the Social Security Administration can inquire about the details of the cost of medical insurance.

6, personal health insurance card how to use? Can the whole family use it now?

Answer: If the accumulated amount of the personal account reaches one month of the average monthly salary of on-the-job workers of the previous year in the city (currently 3,233 yuan), the exceeding part of the account can be used to pay for the outpatient medical expenses of all the members of the family, which has been reported to the Shenzhen Municipal Government, and it is expected to be enacted and put into practice in the near future. All members of the family include parents, spouses, children and so on, and it does not matter whether the family members are Shenzhen residents, whether they participate in health insurance.

Beginning last year (2008), Shenzhen was the first in the country to implement one person to participate in the insurance, the whole family benefits of health insurance "family account" model, in March 1, 2008, the implementation of the "Shenzhen Social Medical Insurance Measures" provides that the individual account accumulation amount reaches one month of the city's previous year, the average monthly salary of on-the-job workers, the excess can be used for the purpose of the individual's account. If the amount accumulated in the individual account reaches one year's average monthly salary of the employees working in the city in the previous year, the exceeding portion can be used to pay for health checkups, preventive vaccination fees and outpatient medical fees for children who have participated in the children's and adolescents' inpatient and outpatient medical insurance for major diseases.

Extended reading: insurance how to buy, which is good, hand to teach you to avoid the insurance of these "pits"