Job Recruitment Website - Social security inquiry - Do college students have medical insurance cards?
Do college students have medical insurance cards?
1. The current medical insurance card has not been activated uniformly, so it cannot be used by online inquiry or credit card at present.
2. Under normal circumstances, one-time payment of medical insurance premium (in tuition) is only valid for the next school year (September of that year 1 to August of the following year 3 1). Under normal circumstances, the accumulated reimbursement during this period shall not exceed that of 500 yuan.
Cary actually has no money, so at present our card only says that we have participated in the basic medical insurance for urban residents.
At present, the medical insurance card we use is actually not much different from the medical insurance (including tuition) policy we participated in before. The most important thing is that the funding channels are different, and there is an extra card. So even if you don't use a medical insurance card, you can check whether you have participated in the current basic medical insurance for urban residents through the medical insurance book, so as to get your card number, and you can still reimburse the prescribed proportion of medical expenses.
5 reimbursement of medical expenses (including hospitalization, general outpatient service, special disease outpatient service, etc.). ), some drugs are non-reimbursable, so students need to pay the original price to buy drugs, which is why sometimes the drugs they take are very cheap, but sometimes they are more expensive.
6. Our school hospital is the first hospital for medical insurance, so if you need to see a doctor in another designated hospital, you need to open a referral form in the school hospital, then pay for the doctor in other hospitals (you can't swipe your card), and then take the corresponding bill to the school hospital for reimbursement. Therefore, it is basically useless to swipe your card at other designated hospitals or pharmacies.
Legal basis: Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law.
Article 8 The medical expenses incurred by the insured in the agreed medical institutions shall be paid by the basic medical insurance fund in accordance with the provisions of the state if they meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards.
If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
The scope of use of college students' medical insurance cards includes:
1, school hospital medical treatment;
2, off-campus hospital outpatient medical treatment;
3. Being hospitalized in an off-campus hospital.
Proportion of reimbursement for college students' medical insurance card outpatient service:
1, if the medical expenses are insufficient 1000 yuan, 35% will be reimbursed;
2, medical expenses in 1000 yuan (including 1000 yuan) above, less than 5000 yuan, 45% reimbursement;
3, medical expenses in more than 5000 yuan (including 5000 yuan), less than 10000 yuan, 55% reimbursement;
4, medical expenses in 1 ten thousand yuan (including 1 ten thousand yuan) above, reimbursement of 65%.
Proportion of college students' medical insurance card hospitalization reimbursement:
1, medical expenses 10000 yuan, medical treatment in tertiary, secondary and primary medical institutions, with reimbursement rates of 55%, 65% and 75% respectively;
2. The medical expenses are above 10000 yuan (including 10000 yuan) and within 20000 yuan, and the reimbursement rates in tertiary, secondary and primary medical institutions are 60%, 70% and 80% respectively;
3, medical expenses in more than 20000 yuan (including 20000 yuan), in the tertiary, secondary and primary medical institutions, the reimbursement rate is 65%, 75% and 85% respectively.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations.
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