Job Recruitment Website - Social security inquiry - How to check the balance of the medical insurance card of Longjiang human society
How to check the balance of the medical insurance card of Longjiang human society
1, download the human social communication APP and open, see the home page of the relevant service functions, select "social security inquiries";
2, according to the requirements of the social security inquiries into the cell phone number and password;
3, after the completion of the click on the "After logging in successfully, the page will automatically return to the APP home page, and then click on the "social security query" option;
5. Users will see the "Employee Social Insurance "
6. To view the participation information and balance, click on the "Participation Information" option;
7. In addition, clicking on the "Personal Account" option also allows you to view the account's The payment records of the account can also be viewed by clicking on "Personal Account".
According to the basic requirements for the payment of basic medical insurance benefits in China, the reimbursement of medical expenses incurred by the insured person to the medical insurance organization for medical treatment is generally subject to the following conditions:
1. The insured person must go to the designated medical institutions for basic medical insurance to purchase medicines or go to the designated retail pharmacy determined by the social insurance organization with the prescription issued by the doctor of the designated hospital to purchase medicines. The medical expenses incurred by the insured in the process of seeking medical treatment must be in accordance with the scope and payment standards of the basic medical insurance drug catalog, diagnostic and therapeutic items, and standards of medical service facilities, in order to be paid by the basic medical insurance fund in accordance with the regulations;
3. Among the medical expenses that are in accordance with the scope of the payment of the basic medical insurance, the medical expenses that are above the starting standard of the basic medical insurance fund and above the maximum payment standard of the social insurance organization are the same as those that are paid by the basic medical insurance fund. The portion of medical expenses that are above the starting standard and below the maximum payment limit of the integrated fund shall be paid by the integrated social medical insurance fund in a uniform proportion.
Legal basis
The Social Insurance Law of the People's Republic of China
Article 74 The social insurance management organization obtains the data necessary for the work of social insurance through its business operation, statistics and surveys, and the relevant units and individuals shall provide them in a timely and truthful manner.
Social insurance agencies shall establish files for employers in a timely manner, keep complete and accurate records of social insurance data such as the number of persons participating in social insurance and the amount of contributions paid, and properly keep the original vouchers for registration and declaration, as well as the accounting vouchers for payment and settlement.
Social insurance agencies shall record in a timely, complete and accurate manner the contributions made by individuals participating in social insurance and by employers on their behalf, as well as records of their individual rights and interests, such as the enjoyment of social insurance benefits, and shall regularly send the record sheets of individual rights and interests to the individuals free of charge.
Employers and individuals can inquire and check their records of contributions and social insurance entitlements with the social insurance administration organization free of charge, and request the social insurance administration organization to provide social insurance consulting and other related services.
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