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Can the medical insurance paid by Nanjing be used elsewhere?
Nanjing's medical insurance card can only be used in Nanjing, not in other cities or regions. Because the medical insurance system and medical service price in different cities and regions may be different, it is necessary to make corresponding settlement and reimbursement according to the local medical insurance policy. If you need to seek medical treatment in other areas, you can consult the local social security agency for relevant policies and regulations to learn how to use local medical insurance services. In addition, if you often need to seek medical treatment in other areas, it is recommended to consider buying commercial medical insurance to obtain wider medical protection.
The provisions on the use of medical insurance are as follows:
1. Scope of use: Employee medical insurance is applicable to the medical expenses of employees in medical institutions, including outpatient expenses, hospitalization expenses, drug expenses, inspection expenses, etc.
2. Usage: When employees seek medical treatment, they will show their personal social security cards and fill in relevant information, and the medical institution will directly settle accounts with the social security department;
3. Reimbursement ratio: The reimbursement ratio of employees' medical insurance depends on different expense items and regions, generally between 50% and 90%;
4. Reimbursement limit: the reimbursement limit of employee medical insurance depends on different expense items and regions, generally a certain amount or a certain proportion. The part that exceeds the reimbursement limit needs to be borne by itself;
5. Reimbursement time: The reimbursement time of employee medical insurance is generally within a certain period after seeing a doctor, and the specific time depends on different regions.
To sum up, the regulations on the use of medical insurance for employees in different regions may be slightly different, and the specific requirements shall be subject to the local medical insurance policy.
Legal basis:
Article 88 of People's Republic of China (PRC) Social Insurance Law
Whoever defrauds social insurance benefits by fraud, forgery of certification materials or other means shall be ordered by the social insurance administrative department to return the defrauded social insurance benefits, and a fine of not less than two times but not more than five times the amount defrauded shall be imposed. If it constitutes a crime, criminal responsibility will also be investigated according to law.
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