Job Recruitment Website - Social security inquiry - Can social security be reimbursed to the outpatient department of the hospital?

Can social security be reimbursed to the outpatient department of the hospital?

Legal analysis: Just show your social security card directly. When seeing a doctor in a designated hospital, you can show your social security card to prove your insured status and registration. Individuals can be directly reimbursed by social security and hospitals, without having to pay first and then reimburse. Only when the account is settled can the balance of social security card or cash be used to pay the self-paid part. Reimbursement scope: general outpatient and emergency expenses incurred by the insured in designated hospitals or specialized hospitals, Chinese medicine hospitals and 3A hospitals selected by the insured. Outpatient deductible line: the total emergency expenses of general outpatient service exceed 1800 yuan in a natural year. Reimbursement ratio: 70% for the hospital, 90% for the community, and 20,000 yuan for the capping line.

Legal basis: Article 2 of the Social Insurance Law of People's Republic of China (PRC) The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., to protect citizens' right to get material help from the state and society according to law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-third 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 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.