The difference between medical insurance and health insurance

The difference between medical insurance and health insurance is as follows:

1. The concepts are different:

(1) Social security is the abbreviation of social insurance, which is a social and economic system for providing income or compensation for the population who are incapable of working, temporarily lose their labor positions, or suffer losses due to health reasons;

(2) health insurance is the abbreviation of medical insurance, which is a kind of insurance for compensating the medical expenses caused by illness. It is a social insurance in which employees are provided with necessary medical services or material help by the society or enterprises in case of illness, injury or maternity. Employees' medical expenses are borne by the state, the organization and the individual*** together, so as to reduce the burden on enterprises and avoid waste;

3. Different roles:

(1) Social security can provide participants with economic security within the scope of basic medical insurance, basic pension insurance, work injury insurance, unemployment insurance and maternity insurance;

(2) Individuals can participate in social security as freelancers, and then have to fulfill the requirements of the social security system. status to participate in social security, after which they have to fulfill the obligation to make contributions on time, in full and continuously. The insured person can get financial protection from the relevant parties when he/she encounters the above problems.

What are the procedures for reimbursement of medical insurance

1, the patient is admitted to the hospital within three days with the "admission notice" and "medical insurance card" to the hospital medical insurance office of the designated hospital for medical insurance registration formalities;

(1) during the hospitalization period, the "medical insurance card" will be retained by the hospital medical insurance office, and will be returned to the person concerned at the time of discharge;

(2) if the registration formalities are not carried out for more than three days, the hospitalization medical expenses will be borne by the person himself/herself.

2, when discharged from the hospital should first go to the hospital medical insurance office for medical insurance discharge settlement procedures;

3, the insured residents pay medical insurance premiums in full and on time, the patient is discharged from the hospital medical insurance fund to pay for the medical costs, the hospital directly with the patient settlement reimbursement.

What do I have to provide for medical insurance reimbursement?

(1) transfer approval form;

(2) a complete copy of the hospitalization medical record (stamped);

(3) the original invoice (stamped);

(4) a summary list (stamped);

(5) a medical insurance card.

Legal Basis: Article 27 of the Social Insurance Law of the People's Republic of China

Individuals who participate in the basic medical insurance for employees and whose cumulative contributions have reached the number of years stipulated by the state by the time they reach the legal retirement age will no longer be required to pay the basic medical insurance premiums after their retirement, and they will enjoy the basic medical insurance benefits in accordance with the state's stipulations; if they have not reached the number of years stipulated by the state, they may pay the basic medical insurance premiums and enjoy the basic medical insurance benefits. If they have not yet reached the state's prescribed period, they can pay contributions until the state's prescribed period.