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The name of the medical insurance card is wrong. Where can I change it?
The social security staff of the unit bring their employee ID card and medical insurance card to the social security bureau of the insured place to apply for renaming and apply for a new medical insurance card.
The name on the medical insurance card is consistent with the name on the customer's ID card and household registration book. If the name on the ID card or household registration book is changed, the old medical insurance card, ID card and household registration book shall be presented to the local social security department for a new card, and the old card shall be returned.
The reimbursement of medical insurance card is limited to the medical expenses above hospitalization in designated hospitals due to illness and some accidents.
The reimbursement formula is: (total cost-threshold cost-self-funded cost-cost overrun) *(75+ age *0.2)%. In general, the actual reimbursement rate ranges from 20% to 60%.
Self-funded drugs are not reimbursed, 80% of Class B drugs are reimbursed, bed fees are limited, and some inspection fees and medical treatment fees according to regulations cannot be reimbursed.
legal ground
Regulations on the administration of declaration and payment of social insurance premiums
Article 27 When the social insurance administrative department and its staff make a decision on the allocation of social insurance premiums, if they commit any of the following acts, in accordance with the provisions of the Administrative Compulsory Law of the People's Republic of China, the social insurance administrative department at a higher level or the relevant department shall order them to make corrections, and the directly responsible person in charge and other directly responsible personnel shall be punished according to law; If losses are caused to the employing unit or individual, it shall be liable for compensation according to law; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(1) Making a decision on the allocation of social insurance premiums in violation of legal procedures;
(2) Failing to make a timely decision on allocating social insurance premiums within the prescribed time limit and notifying the employer's bank or other financial institution in writing;
(three) the amount of social insurance premiums is wrong;
(four) the disclosure of information to the parties affects the distribution of social insurance premiums;
(five) other acts in violation of laws, regulations and rules. Article 3 Social insurance agencies shall be responsible for the declaration and verification of social insurance premiums.
Where the people's governments of provinces, autonomous regions and municipalities directly under the Central Government decide that social insurance agencies shall collect social insurance premiums, the social insurance agencies shall collect social insurance premiums according to law.
Social insurance agencies are responsible for the collection of social insurance premiums and implement unified collection.
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