Social security card to see the doctor reimbursement process

The reimbursement process of social security card is:

1. When the insured person goes to see the doctor, after taking the social security card to see the doctor, a prescription will be issued to pay the fee;

2. The insured person will take the registration slip to see the doctor in the consultation department, and the doctor will give the card to the registration office to register for the consultation;

3. The insured person will take the prescription to the billing window of the hospital to calculate the price, and then brush the social security card to pay for medical expenses covered by the medical insurance fund directly.

4. If some drugs in the prescription are not covered by the medical insurance fund, the insured person has to pay cash out of pocket.

Social security card to see a doctor reimbursement process is as follows:

1, when the designated hospitals proposed social security card and personal identity registration insurance does not pay the refund can be made directly by the hospital's social security and social security costs of the settlement, only at the time of payment, payment of the difference between its part of the social security card or payment.

2, reimbursement, reimbursement of medical expenses, there is a line (the standard payment of the initial payment, generally 10% of the average annual salary of employees in the city in the previous year), that is, the money that has been paid from the money is paid by themselves, the part of the online payment will also be based on the provisions of the local social security. Each region is different, may be more than 80%, you can go to the local labor security network to check.

The part of the medical expenses of the insured that should be paid by the basic medical insurance fund will be settled directly by the social insurance administrative organization with the medical institutions and drug business units. Social insurance administrative departments and health administrative departments should set up a settlement system for medical expenses incurred in other places to facilitate the enjoyment of basic medical insurance by insured persons.

What is the reimbursement rate for using social security card to see a doctor:

Special diseases, after application and confirmation, enjoy reimbursement of 60% to 80% under the monthly limit, details are as follows:

1. The use of special medical materials or the use of disposable medical materials with a unit price of more than 1,000 yuan, as well as the installation and replacement of artificial organs, will be paid for by the basic medical insurance co-ordination fund according to the 90% of the price of the domestic universal type.

2. 90% of the basic medical expenses for outpatient dialysis for chronic renal failure, outpatient anti-rejection drugs after organ transplantation, and outpatient chemotherapy, radiotherapy, interventional therapy or nuclide therapy for malignant tumors shall be paid by the Basic Medical Insurance Coordination Fund.

3. 80% of the outpatient special examination and treatment costs are paid by the basic medical insurance co-ordination fund, and individuals pay 20% out-of-pocket.

4. Continuous contributions are linked to the reimbursement rate, which increases to 71% after 2 years of continuous participation, 72% after 4 years of continuous participation, and so on.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 2

The state establishes a social insurance system for basic old-age insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the citizens' rights to obtain material assistance from the state and society in accordance with the law in the event of old age, sickness, work-related injury, unemployment and childbirth. rights.