How to use Changchun social security card?

When seeking medical treatment, show the medical insurance card to the designated hospital to prove the identity of the insured. At the time of checkout, the part paid by the individual is paid by himself with medical insurance card or cash, and the part reimbursed by medical insurance is settled by medical insurance and hospital, and the individual does not need to pay first and then reimburse.

First, how to handle the basic medical insurance for college students?

A: Every September, students pay the corresponding premium to their college according to their years in school (students who participate in Changchun's basic medical insurance for students or urban residents' medical insurance before entering school do not need to pay the medical insurance card fee), and provide their ID number, class number and one-inch color bareheaded photo.

2. How much does it cost to participate in the basic medical care for college students? How much do you charge?

A: According to the Implementation Opinions of the General Office of Jilin Provincial People's Government on College Students' Participation in Urban Residents' Medical Insurance, Document No.54 of Ji Zhengban (2009) stipulates: "The payment standard for college students' participation in urban residents' basic medical insurance is the same as that for primary and secondary school students in the co-ordination area where colleges and universities are located. The subsidy standard for college students to participate in the basic medical insurance for urban residents shall be implemented with reference to the corresponding subsidy standard for primary and secondary school students to participate in the basic medical insurance for urban residents in the overall planning area where the university is located. Provincial college students (our school is a provincial key university) need government subsidies to participate in the basic medical insurance for urban residents, and the central and provincial finances each subsidize 50% according to the basic medical insurance subsidy standard for urban residents. " In 2009, the annual payment standard for college students was 1 15 yuan, in which 80 yuan was given financial assistance and 35 yuan was paid by individuals. The medical insurance card only needs 15 yuan.

3. What are the medical security contents of the basic medical insurance for college students?

A: The basic medical insurance for college students does not set up individual accounts, but focuses on inpatient and outpatient medical care for serious illnesses. Resident students participate in the basic medical insurance for urban residents in Changchun according to the principle of territoriality, which is consistent with the basic medical insurance policy for urban residents' primary and secondary school students, and mainly pays the medical expenses for hospitalization, accidental injury and outpatient serious illness that meet the requirements. College students' daily outpatient medical care will continue to be implemented in accordance with existing regulations.

4. What are the basic medical insurance benefits for college students?

Answer: College students suffering from diseases or accidental injuries should go to the designated medical institutions of medical insurance in Changchun with the social security card of Changchun:

1. hospitalization qifubiaozhun: the hospitalization qifubiaozhun for college students is 100 yuan for medical institutions at all levels;

2. Maximum payment limit: the maximum payment limit of college students' hospitalization pooling fund is 80,000 yuan;

3. Proportion of hospitalization compensation: 70% of the compensation for the part above 5,000 yuan of the deductible line; 5000 yuan to 10000 yuan compensation 75%; 10000 yuan to 30000 yuan compensation 80%; 30,000 yuan to 50,000 yuan compensation 85%;

4. Types of serious outpatient diseases and compensation ratio: The overall fund will give some subsidies to the medical expenses of serious outpatient diseases such as radiotherapy and chemotherapy for malignant tumors, dialysis treatment for uremia, anti-rejection treatment after allogeneic organ transplantation, hemophilia, etc. Specific standards: The proportion of medical expenses compensation for serious illness outpatients in medical institutions at or above the provincial level, at the municipal level and at the district level is 45%, 50% and 55% respectively (the outpatient deductible for serious illness is only calculated once a year);

5. Accidental injury: 80% of the outpatient medical expenses of college students who meet the requirements and belong to accidental injury will be paid by the overall fund from 100 yuan (excluding 100 yuan) to 5,000 yuan (including 5,000 yuan).

5. What should I do if a student is sick or accidentally injured?

Answer: When a student is sick or accidentally injured, he only needs to take the social security card of Changchun City to see a doctor in a designated medical institution of medical insurance in Changchun City, and the expenses beyond the basic medical scope of college students must be paid by the students themselves.

6. When a student is sick or accidentally injured, the "Changchun Social Security Card" is still being made. How to deal with it?

Answer: 1. Students in our school fell ill or suffered accidental injuries before10 in 2009 (10, 15, the payment date of medical insurance in our school in 2009):

(1). First, you need to report to Changchun Medical Insurance Management Center;

(2) It is necessary to affix the official seal of the hospital on the copy of the first page of the medical record, the copy of the diagnosis certificate and the copy of the expense details, and submit them together with the invoice details (original) to the Student Management Section of the Academic Affairs Office, which will issue the school certificate according to the materials provided by the students;

(3) After the "Changchun Social Security Card" is issued to the students, the students will go to the third floor of Changchun Medical Insurance Management Center (Commercial Bank on the south side of Hengkelong, Guilin Road) to handle the reimbursement business with the "Changchun Social Security Card" and the above materials and certificates.

2. If a student falls ill or suffers accidental injury after June+10/October, 65438+May, 2009, the student himself or the student's counselor teacher will go to the Student Management Section of the Academic Affairs Office to issue a student registration certificate, and then the student himself or his agent will take his ID card (the agent also needs his ID card) and the student registration certificate to the first floor of Changchun Medical Insurance Management Center to apply for a temporary social security card (deposit 30 yuan).

Seven, students need to report to the Changchun medical insurance management center, how to report?

A: There are three ways to report a case:

1.0431-85641992 (manual telephone);

2.9685555 (report the case according to the computer prompt);

3.043 1-85678845 (Fax Report) When faxing the report, you need to write your name and ID number on the diagnosis, and then fax the diagnosis to Changchun Medical Insurance Management Center.

Eight, when students go through the formalities of suspension from school, how to go through the medical insurance procedures?

Answer: When a student goes through the formalities of suspension from school, the Student Management Section will inform Changchun Medical Insurance Management Center to go through the formalities of suspension of insurance for the student in the system. After the insurance is stopped, students can enjoy the payment termination period of the year.

9. When a student goes through the formalities of dropping out of school, how can he get a refund if he has paid the fee for four years in one lump sum when he first entered school?

A: According to the national pilot program, urban residents' contributions are directly included in the management of the national treasury special account and will not be refunded in principle.

Ten, students drop out of school, such as the occurrence of major diseases and in the warranty period of the year, how to reimburse medical expenses. If you are abroad, do you have to go back to China for treatment at least to be reimbursed?

A: Those who drop out of school in Changchun can get their cards directly to designated medical institutions for medical treatment and enjoy treatment. If you are outside Changchun, you need to report the case by phone within five working days, and then bring a copy of the first page of the diagnosis medical record, invoices and expense details to the medical supervision department on the third floor of the medical insurance center for reimbursement (the above three items need to be stamped with the official seal of the hospital); If you are abroad, you must at least go back to China to enjoy it, otherwise you will not enjoy the treatment.

Xi。 Can students go home for treatment due to illness or major illness during their suspension from school, and how can medical expenses be reimbursed?

A: Students can enjoy the treatment as long as they are in the payment period, regardless of whether they drop out of school due to illness or not. For example, in Changchun, you can directly take the card to the designated medical institution for medical treatment. If you are in a foreign country, you need to call the police within five working days, and then bring the copy of the first page of the diagnosis medical record, invoices and expense details to the medical supervision office on the third floor of the medical insurance center for reimbursement (the above three items need to be stamped with the official seal of the hospital), and you need to bring the certificate issued by the student office.

Twelve, students suffering from a serious illness want to go to other better hospitals in other provinces, how to go through the formalities?

A: If a student is seriously ill and needs to be treated in a well-known hospital in other provinces, he must first call the police within five working days. Secondly, a referral certificate is issued by a hospital at or above the provincial level in Jilin Province (the certificate should indicate that the disease suffered by the students cannot be treated in our hospital or the treatment effect is better in XX hospital in other provinces), and the referral certificate is faxed to Changchun Medical Insurance Management Center; After treatment, bring the copy of the first page of the diagnosis medical record, invoice and expense details to the medical supervision department on the third floor of the medical insurance center for reimbursement (the above three items need to be stamped with the official seal of the hospital), but the reimbursement ratio is only 50%.

Thirteen, after the expiration of the suspension period, students drop to the first grade, how to apply for medical insurance procedures?

A: Students can pay tuition fees for one year together with freshmen when they leave school.

Fourteen, students during the winter and summer vacations, accidental injuries, major diseases, how to handle the treatment and reimbursement procedures?

A: Students who are sick outside the school, if they are in Changchun, can take their cards directly to the designated medical institutions for medical treatment. If you are in a foreign country, you need to call the police within five working days, and then bring the copy of the first page of the diagnosis medical record, invoices and expense details to the medical supervision office on the third floor of the medical insurance center for reimbursement (the above three items need to be stamped with the official seal of the hospital), and you need to bring the certificate issued by the student office.

Fifteen, students in the field during the internship (normal teaching activities arranged by the school) accident, how to deal with?

A: When students have accidental injuries, see if they need hospitalization. If he needs hospitalization, he can go directly to the designated medical institution with Changchun's card. If you are in a foreign country, you need to call the police within five working days, and then bring the copy of the first page of the diagnosis medical record, invoices and expense details to the medical supervision office on the third floor of the medical insurance center for reimbursement (the above three items need to be stamped with the official seal of the hospital), and you need to bring the certificate issued by the student office. Accidental injury outpatient expenses need to be paid in advance, and then bring the copy of the first page of the diagnosis medical record, invoices and expense details to the medical supervision department on the third floor of the medical insurance center for reimbursement (the above three items need to be stamped with the official seal of the hospital), and at the same time bring the certificate issued by the Political and Educational Affairs Office. Accidental injury clinics don't need telephone reports.

Sixteen, students are injured by others, need treatment, is it within the scope of medical insurance?

A: According to the relevant regulations of the national and Jilin basic medical insurance, all expenses incurred due to illegal crimes, fights, traffic accidents, medical accidents, intentional suicide, self-mutilation, fireworks and firecrackers are not included in the basic medical insurance coverage.