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Can you swipe your health insurance card to see a dentist
1. Under normal circumstances, when you are sick and need to be hospitalized, take your health insurance card and medical records to your designated hospital, and you can use your health insurance card to settle the bill. That is, the self-pay part of their own payment, reimbursement part of the health insurance center and the hospital settlement;
2, if by their own designated hospitals to secondary or tertiary hospitals, with the health insurance card settlement;
3, the condition of the critical, hospitalized in a hospital that is not their own designated hospital resuscitation, within five days to the municipal health insurance center for the emergency medical resuscitation of the type of disease identified as an emergency rescue disease, identified as an emergency rescue disease, you can use the card in the The medical insurance card can be used to settle the bill at the hospital after it is recognized as an emergency rescue hospital;
4. If you are transferred to a foreign country for treatment, you can go through the referral procedures with the consent of the hospital and the medical insurance center. The expenses incurred abroad will be settled at one's own expense first, and after the end of the treatment, all the information will be reimbursed by the community labor security workstations;
5. Those who have been identified as having special prescribed illnesses such as cancer, uremia, and organ transplantation, will be hospitalized and settle the bills with their medical insurance cards as before. Outpatient treatment to get medicine, still use the medical insurance card, the first personal out-of-pocket settlement, their own settlement of bills within the current year by the community labor security workstation reimbursement;
6, there is a special case, that is, the need to do cataract ultrasonic emulsification IOL implantation, self-selected a capable hospital is not necessarily their own designated hospitals. No need to hospitalization, direct outpatient surgery, still use the medical insurance card, the first personal out-of-pocket settlement, after the end of the clinic, through the community labor security workstation reimbursement.
The method of brushing the medical insurance is as follows:
1. Generally speaking, when you are sick and need to be hospitalized, take your medical insurance card and medical records to your designated hospital, and then you can settle the bill with your medical insurance card. In other words, the self-payment part of their own payment, reimbursement part of the health insurance center and the hospital settlement;
2, with the social security card for medical treatment there are three conditions:
(1) must show the social security card card when registering, cash payment of personal out-of-pocket, out-of-pocket expenses, the hospital for the insured person to issue a fee bill;
(2) to the clinic to see a doctor to take the initiative to the doctor to show the social security card;
(3) When paying the bill, the social security card must be given to the billing officer together with the bill for payment.
3. The use of the medical insurance card is limited by geographical scope. The medical insurance card can be used when the insured workers visit the designated hospitals and pharmacies to purchase medicine, and can also be used by swiping the card on the POS machine with the password, but it is not possible to withdraw cash or make transfers for use. Scope of reimbursement for hospitalization under medical insurance. It is limited to hospitalization caused by illness and some accidents in designated hospitals. Self-paid drugs cannot be reimbursed, 80% of Class B drugs are reimbursed, there is a limit on bed charges, and some examination and treatment fees are not reimbursed according to regulations. The money in the medical insurance card can be used to buy over-the-counter medicines at designated places.
In summary, the scope of use of the medical insurance card is the insured workers in the designated hospitals, pharmacies, medicine purchase, with the password in the POS machine swipe card use, but can not withdraw cash or transfer the use of. The use of the medical insurance card is limited by geographical scope. The medical insurance card can be used by insured workers in designated hospitals and pharmacies to purchase medicines, and can also be used by swiping the card on the POS machine with the password, but it is not possible to withdraw cash or make transfers.
Legal basis:
Article 24 of the Social Insurance Law of the People's Republic of China
The State establishes and improves the new rural cooperative medical system.
Methods for administering the new rural cooperative medical care shall be prescribed by the State Council.
Article 25
The State establishes and perfects the basic medical insurance system for urban residents.
Basic medical insurance for urban residents is a combination of individual contributions and government subsidies. The government shall subsidize the portion of individual contributions required by those who are entitled to the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons over the age of sixty and minors from low-income families.
Article 26
The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 27
Individuals who have participated in the basic medical insurance for employees and whose accumulated contributions have reached the number of years stipulated by the State by the time they reach the legal retirement age shall no longer pay the basic medical insurance premiums after their retirement, and shall be entitled to the basic medical insurance benefits in accordance with the State's provisions; if they have not yet reached the number of years stipulated by the State, they may make contributions up to the State's stipulated number of years.
Article 28
Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with state regulations.
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