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Can Jiangsu medical insurance card be used in Shanghai?
There is no internet connection in other places in Jiangsu and Shanghai for the time being, but with the hospital invoice, you can go back to the place where you do medical insurance for reimbursement. The medical expenses incurred by the insured for medical treatment in different places, except for emergency treatment, must first go through the filing procedures for medical treatment in different places, and the medical expenses incurred in different places can be directly settled or reimbursed. There are two ways to settle medical expenses in different places:
1. Direct settlement by credit card: When the insured holds the unified social security card of Jiangsu Province (hereinafter referred to as the "social security card") for medical treatment in the networked medical institutions in different places, they can directly settle the account by credit card. The part of medical expenses that should be borne by individuals shall be paid directly by individuals in cash or personal accounts, paid by medical insurance pooling funds, and settled by medical insurance agencies and hospitals.
2. Advance before reimbursement: the insured person pays the medical expenses in full first, and then submits them to the medical insurance agency of the insured place for reimbursement with the disease diagnosis certificate and expense invoice.
At present, the settlement platforms for medical treatment in different places in Jiangsu Province are interconnected, and Taizhou, Suqian, Suzhou, Nantong and Yancheng have realized the reimbursement of medical treatment for insured persons in different places within the provincial cities. Social Security Card is an integrated circuit (IC) card which is planned by Ministry of Human Resources and Social Security and issued by local human resources and social security departments and used in various business fields of human resources and social security. At present, 13, a municipality under the jurisdiction of Jiangsu province, has been interconnected with the settlement platform for medical treatment in different places in the province, realizing universal use in the whole province. Using the provincial card, citizens can also realize various functions such as medical treatment in different places, employment in different places, insurance in different places, and receiving pensions in different places. According to reports, in the future, people's social services will gradually shift to the full use of social security cards. The "one card use" of social security services in the province and even in the future will provide the public with more convenient "integrated" services.
Legal basis:
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity. Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(3) borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party. Seventy-fourth social insurance agencies through business handling, statistics, investigation and other means to obtain the data needed for social insurance work, the relevant units and individuals should provide timely and truthful. The social insurance agency shall establish a file for the employer in a timely manner, completely and accurately record the social insurance data such as personnel's participation in social insurance and payment, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement. The social insurance agency shall timely, completely and accurately record the individual's personal rights and interests such as social insurance payment, employer's payment and social insurance benefits, and regularly send the personal rights and interests records to me free of charge. Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.
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