Shenzhen medical insurance binding family how to operate

Shenzhen medical insurance family account binding, there are four ways: WeChat public number for; Shenzhen Social Security Bureau official website for; in the hospital medical insurance office (or social health) for; each district social security branch medical insurance window application for.

Binding conditions

1, the authorized person (the bound person) to participate in the basic medical insurance of the first class

2, the authorized person (the bound person) for the authorized person (the bound person) spouse or immediate family members and participate in the city's basic medical insurance.

Note: If the self-service terminal is used, the authorized person (bound person) is required to hold an activated financial social security card, and the authorized person (bound person) is required to hold an activated financial social security card or ID card.

I. Associated Family Health Insurance Accounts:

1. The condition of association is that the balance of the medical personal account of the first-grade participant of the Shenzhen Health Insurance is more than 60% of the monthly social wage (now 7778 yuan);

2. The associated person normally participates in the Shenzhen Health Insurance and has a zero medical account (for the second-grade and third-grade participants of the Health Insurance);

3. The associated person can be the parents, children and spouses, etc. The associated person can be the parents, children and spouses, etc. The associated person can be the parents, children and spouses, etc. The associated person can be the parents, children, and the spouse.

3, the associated person can be parents, children and spouses, etc. The purpose of association is because the balance of the medical account of the first-tier participants is relatively large, and they can't use it themselves, so the association can be used by their family members, and the association can take effect immediately after it is successfully completed;

4, the associated person can hold his or her own financial social security card to see outpatient clinics in all hospitals, and the association will not affect the reimbursement of the annual 1,000-yuan outpatient amount;

5, the associated person After being linked to a hospital or a social health center, outpatient visits will be prioritized to use the $1,000 reimbursement, and when this $1,000 is used up or when the outpatient visit is made at a non-linked hospital, the payment can be made from the linked account.

The process of association is as follows:

1. Pay attention to the public number of "Shenzhen Social Security" and register with your real name;

2. Log in to find the "office" and click on "View More". "

3, scroll down to find "insurance information change", click on "self-service binding personal account family channel";

4, according to the guidelines to increase the binding personnel information can be.

The second and third grade medical insurance participants bound to the first grade of medical insurance family account, in case of emergency, you can not go to the bound community hospital outpatient clinic, you can choose any hospital in Shenzhen City, but the use of the amount of personal account associated with the first grade of the medical insurance account can not be reimbursed by the integrated fund.

Three, the second and third tranches of the health insurance binding social health process:

1, the second and third tranches of the participants have an annual outpatient reimbursement of 1,000 yuan, but it must be in the binding of the social hospital to be able to use;

2, through the unit of the insured, the default unit is bound to the social hospital, if you feel that the binding of hospitals is inconvenient, but also to change their own social hospitals, the monthly If you can't find it convenient, you can change the hospital by yourself. You can complete the binding before the 20th of each month, and it will be effective from the 1st of the next month.

3, also logged into the "Shenzhen Social Security", find the "Office", click on the "query more";

4, pull down to find the "Social point binding and change", click on the open to find the social hospital can be bound to the "binding and change" can be.

Legal Basis

Shenzhen Social Medical Insurance Measures

Article 39 The basic medical insurance fund and the local supplemental medical insurance fund shall pay for the medical insurance treatment in the following manner:

(1) The portion of the medical expenses of the participant which shall be paid by the basic medical insurance fund and the local supplemental medical insurance fund shall be paid by the basic medical insurance fund and the local supplemental medical insurance fund. (a) The part of the participant's medical expenses that should be paid by the basic medical insurance fund and the local supplementary medical insurance fund shall be settled by the municipal social insurance organization and the designated medical institution or the designated retail pharmacy in accordance with the agreement;

(b) If the participant's medical expenses fall within the scope of the payment from the individual account, they shall be deducted from the participant's individual account by the designated medical institution or the designated retail pharmacy in this city; if the individual account is insufficient to pay for the medical expenses, the participant shall pay for them in cash;

(c) (3) The participant's medical expenses are paid for by using family members' medical expenses. (C) the participant's medical expenses paid using the family member's personal account, the designated medical institutions in the city from the family member's personal account provided by the deduction;

(D) the medical expenses incurred in the designated medical institutions in the city, by the participant to pay in advance and then apply for reimbursement of the city's social insurance institutions, the city social insurance institutions in accordance with the provisions of the Measures to be examined and approved, and eligible to be paid.