Job Recruitment Website - Social security inquiry - What is the difference between social security personal account and health insurance personal account?
What is the difference between social security personal account and health insurance personal account?
Difference between health account and personal account:
1. Health account can be used to purchase medicines at designated pharmacies within the scope of social security, and when settling the outpatient bill at hospitals, the balance of the personal account is deducted as a priority, and the amount that has not been paid can be paid by the health account; the personal account is used for outpatient treatment at designated hospitals or hospitalization. The personal account is used for outpatient or inpatient treatment at designated hospitals.
2. The amount of money paid out from a health account is less than that from an individual account. These are the differences between a health account and an individual account, both of which are classified as social security accounts.
Social security health account, refers to the participants from the actual balance of the individual medical account of the funds set aside from part of the funds, used for the comprehensive protection of their own health and their parents, children, spouses between the funds account.
Social security personal account refers to the social security agency in accordance with the social security number issued by the State Bureau of Technical Supervision for each participant in social pension insurance, record the unit in accordance with the provisions of the transfer of the pension insurance premiums and personal payment of all the pension insurance premiums as a participant in social pension insurance retirement account pension insurance premiums calculated on the basis of.
Medicare Settlement Procedures
(1) Settlement Procedures for Hospitalization and Outpatient Treatment of Special Diseases
Prescribed medical institutions will report the cost settlement statement, hospitalization settlement statement and relevant information of patients discharged from hospitals in the previous month to the medical insurance agency before the 10th day of each month, which will review and approve them and then serve as the basis for the monthly preallocation and the year-end final account. The medical insurance agency makes monthly advance payments of the previous month's coordinated fees for hospitalization and outpatient treatment of special diseases.
Participants who are recognized as suffering from special diseases should go to one of the designated medical institutions designated by the labor security department for medical treatment and purchase of medicines, and the medical expenses incurred will be recorded directly in the accounts and settled instantly.
(2) Emergency Settlement Procedures
Participants who are hospitalized in non-designated medical institutions in the city or in other medical institutions due to emergency treatment, the medical expenses incurred shall be advanced by the individual or the unit, and after the end of emergency treatment, the participants shall go through the reimbursement procedures with the hospital's emergency medical records, examination and laboratory report forms, invoices, and detailed medical fee lists, etc., in accordance with the regulations of the medical insurance administration organization.
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