How to use Guangzhou medical insurance card

Guangzhou medical insurance card has been replaced by the current Guangzhou social security (citizen) card, which is a new citizen card with financial functions. Its financial function can be used nationwide for more convenient and quick medical registration and book borrowing. I. Usage of Medical Insurance Card in Guangzhou 1. Under normal circumstances, when you need to be hospitalized due to illness, you can take the medical insurance card and medical records to the designated hospital and settle the account with the medical insurance card. That is to say, some of them are paid by themselves at their own expense, and some medical insurance centers and hospitals reimburse and settle accounts. 2. If you transfer from a designated hospital to a secondary or tertiary hospital, you can use the medical insurance card for settlement, as shown above. 3. The patient is critically ill and hospitalized in a non-designated hospital. He should go to the municipal medical insurance center for emergency rescue disease identification within 5 days. After being identified as an emergency rescue disease, he can use the medical insurance card for settlement in the rescue hospital. 4, transferred to other places for treatment, with the consent of the hospital and medical insurance center, the referral procedures. The expenses incurred in the field shall be settled by the individual at his own expense, and after the diagnosis and treatment, the community labor security workstation shall prepare the materials for reimbursement. 5, made special provisions of the disease (cancer, uremia, organ transplantation) proof, with medical insurance card settlement in hospital. The medical insurance card is still used when taking medicine out of the clinic, and the bills settled by individuals at their own expense will be reimbursed by the community labor security workstation this year. 6. Under special circumstances, it is necessary to do phacoemulsification and intraocular lens implantation, and choose a competent hospital (not necessarily a hospital designated by yourself). No hospitalization, direct outpatient surgery, still using the medical insurance card, first settled at their own expense, and reimbursed by the community labor security workstation after diagnosis and treatment. Second, the transfer of funds in the medical insurance card account and the use of medical insurance premiums that each insured person needs to pay every month will be transferred to personal account funds. As long as it is not the medical insurance for urban and rural residents or the medical insurance for some flexible employees, Guangzhou Medical Insurance Bureau will transfer the money to your account in proportion every month. Under 35 years old: 2% of my monthly medical insurance payment base; 35-45 years old; 3% of my monthly medical insurance payment base; 45 years old-before retirement: 3.8% of my monthly medical insurance payment base; After retirement: 4.65438+ 0% of the average monthly salary of employees in the previous year. The use of funds in the medical insurance card account involves medical insurance for employees after designated hospitals in 300 yuan/month, medical insurance for minors and students for residents 1 1,000 yuan/year, and the upper limit of reimbursement for general outpatient service for other urban and rural residents in 600 yuan/year. In addition, you can also use the money to buy drugs (over-the-counter drugs), medical equipment, thermometers, sphygmomanometers and other auxiliary inspection equipment at designated pharmacies, and pay for self-funded items such as physical examination. Of course, Guangzhou's regulations are still very user-friendly, and the balance in the account can also be used to pay for self-funded items related to immediate family members, such as the self-funded vaccine for the baby to attend high school, which can be used to brush the money in the parents' medical insurance card. Cardholders who have opened the application function of social security (citizen) card for medical insurance can inquire about the balance of personal medical account and the operation information of recent medical insurance transactions through three channels: after successfully logging in to Guangzhou citizen's webpage (), click the column of "Social Security Card Consumption Information Inquiry" to inquire; Insert the card into the self-service equipment that can be queried by using the social security (citizen) card; Call the hotline of the bank to which the medical insurance account belongs or go directly to the bank counter to inquire.

Legal objectivity:

The full name of medical insurance card is medical insurance card, which is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, payment and consumption of account funds are stored and recorded. The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the medical insurance institution will entrust the personal account payment to the insured employee's personal medical insurance card at the end of each month. The medical insurance card is an important voucher for the insured to purchase daily medical care. It is the carrier of personal account of medical insurance, which is used to record the basic information of the insured, including the basic medical insurance premium paid by the individual, the basic medical insurance premium paid by the employer in accordance with the prescribed proportion, other funds and interest. It is a non-financial special card for the insured to carry out basic medical consumption. Guidelines for Handling Medical Insurance Cards in Guangzhou: (1) Insured persons whose medical insurance cards are damaged will go to the account management section of the medical insurance center on June 5438+05-20 next month to inquire about the reasons for the damage and reissue the medical insurance cards, and get a new card with the receipt of the cards. (2) The insured person who reported the loss of the medical insurance card shall go to the account management section of the medical insurance center to report the loss with the company's letter of introduction and a copy of his valid ID card or household registration book, and get a new card with the card receipt on June 5438+05-20 next month. (III) Personal account transfer and account cancellation procedures When the insured person transfers, he must go through the transfer and account cancellation procedures at the account management section of the medical insurance center with his ID card, transfer letter of introduction and card. After the death of the insured, the person in charge of the unit or his family shall go through the formalities of account inheritance and cancellation at the account management section of the medical insurance center with the deceased's ID card, card and agent's ID card and death certificate. (4) Every month, the newly-added personnel will get their medical insurance cards from the account management section of the medical insurance center on June 5438+05-20 with the Employment Certificate, Transfer Certificate and Personnel Change Form. (5) The personnel who have been approved to retire shall go through the formalities of replacing the retirement card with the card of the unit administrator at the account management section of the medical insurance center. (6) Audit and settlement of outpatient medical expenses of designated medical institutions and pharmacies: check the outpatient data with hospitals and pharmacies on the day of each month, upload the outpatient data one by one in June-10 for audit, settle the personal account funds of hospitals and pharmacies after ensuring the accuracy of each record, and regularly check whether the prescriptions of pharmacies are complete and accurate. (7) The medical expenses paid in cash when the funds in the personal account are insufficient shall be offset by cash from the account management section of the medical insurance center with the outpatient medical expense statement, and the medical expenses incurred by medical personnel on business trips and in different places shall be offset by cash from invoices. (8) Unemployed persons shall obtain the medical insurance card from the account management section of the medical insurance center with the card receipt issued by the medical insurance center.