How to use social security and medical insurance?

You can use social security cards or medical insurance cards to settle medical expenses in designated medical institutions and enjoy medical reimbursement.

I. Reimbursement of medical expenses

1. Use of social security card or medical insurance card: Individuals will get social security card or medical insurance card after paying social security and medical insurance. When seeking medical treatment, you need to take these cards to designated medical institutions, such as hospitals and clinics.

2. Expense settlement: when visiting a medical institution, medical expenses (such as registration fee, examination fee, medicine fee, etc. You can use social security card or medical insurance card to settle accounts. Individuals only need to pay part of the out-of-pocket expenses, and the rest will be paid by the medical insurance fund.

3. Reimbursement process: For medical expenses that meet the requirements, individuals can directly go through reimbursement procedures in medical institutions. For some expenses that need follow-up review, individuals need to submit relevant materials in accordance with relevant regulations and wait for the medical insurance department to review and reimburse.

Second, enjoy social security benefits.

1. Old-age insurance benefits: An individual can receive a pension after reaching the statutory retirement age and paying the old-age insurance for a certain number of years. Pension payment standards and measures shall be implemented according to local policies and regulations.

2. Unemployment insurance benefits: During the period of unemployment, individuals can receive unemployment insurance benefits according to regulations to ease the pressure of life. At the same time, unemployment insurance also provides vocational training and employment guidance services to help unemployed people find jobs as soon as possible.

Third, get relevant services.

1. social security inquiry: individuals can inquire about their social security payment and treatment enjoyment through social security cards or related platforms.

2. Social security transfer: When changing jobs or residences, individuals can go through social security transfer procedures to ensure that their social security rights and interests are not affected.

3. Consultation and Complaint: When individuals have doubts or dissatisfaction about social security and medical insurance related policies and operations, they can consult or complain to the local social security department for help and solve the problem.

To sum up:

After individuals pay social security and medical insurance, they can use social security cards or medical insurance cards to settle and reimburse medical expenses in designated medical institutions. At the same time, individuals can get corresponding social security benefits after meeting certain conditions, such as pension and unemployment insurance. In addition, individuals can also query social security information, handle social security transfer procedures and consult complaints through relevant platforms. These measures ensure that individuals can fully enjoy the corresponding rights and services after paying social security insurance.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 23 provides that:

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 27 provides that:

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Labor law of the people's Republic of China

Article 73 provides that:

Workers shall enjoy social insurance benefits according to law under the following circumstances: (1) Retirement; (2) Being sick or injured; (3) Being disabled at work or suffering from occupational diseases; (4) unemployment; (5) bearing. After the death of an employee, his survivors shall enjoy the survivors' allowance according to law. The conditions and standards for workers to enjoy social insurance benefits shall be stipulated by laws and regulations. Social insurance premiums enjoyed by workers must be paid in full and on time.