Is it automatic reimbursement to use social security card to see a doctor?

If you use the social security card to see a doctor directly, you don't have to reimburse. If it is hospitalization reimbursement, first register hospitalization with social security card, and then submit it to the Social Security Bureau for approval by the permanent representative of the hospital. After the audit is passed, you can directly use the social security card to leave the hospital.

How to reimburse the social security card when going to the hospital?

Generally speaking, the economic development in different regions is different, so the reimbursement ratio is different. The following is an explanation of the proportion of employees' medical insurance in Beijing.

After receiving medical insurance, if they are on-the-job employees, the medical expenses above 1800 yuan can only be reimbursed, and the reimbursement rate is 50%. For retirees under 70 years old, expenses above 1300 yuan can be reimbursed, and the reimbursement rate is 70%. For retirees over 70 years old,180% of the expenses above 300 yuan can be reimbursed.

No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20 thousand yuan. For example, if you are an on-the-job employee, and the outpatient medical expenses are 2,500 yuan, then 700 yuan can reimburse 50%, that is, 350 yuan.

If it is hospitalization expenses, the minimum payment for employees and retirees is 1300 yuan when the basic medical insurance is used for the first time within one year in 2009. And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan. 1 year The maximum payment limit of the basic medical insurance pooling fund (hospitalization expenses) is 70,000 yuan.

Social security card replacement process:

1. Report the loss in advance.

There are two forms to report the loss of social security cards, one is oral report and the other is written report. Report the loss in writing: you can report the loss in advance in writing at the social security card service network (located in the street social security office) with the original resident ID card or household registration book. The loss reporting formalities are completed and the loss reporting will take effect immediately. Oral loss reporting: the cardholder can call the service phone number of the issuing bank or 12333.

Report the loss by telephone and other channels. When reporting the loss by telephone, the cardholder shall provide his social security card number, name, ID number, work unit and contact telephone number. After reporting the loss by telephone, the cardholder shall, within 3 working days, take the original ID card (or a copy of the household registration book and social security card) to the service outlets of the card center or the agency service outlets for formal written reporting of the loss. If the loss is not reported in writing within the time limit, the card center will automatically cancel the loss reporting status of the loss reporting card.

2. Get a new card.

After pre-reporting the loss, you can go through the formalities of officially reporting the loss and replacing the new card (it cannot be revoked after the official reporting of the loss). You can entrust others to apply for a replacement card. When handling, you need to show the original and photocopy of the ID cards of the client and the client. After filling out the application form, the staff of the social security card service outlets will handle it. At this point, the staff will issue a "card certificate". If you get sick during the card replacement, you can go to the designated hospital for medical treatment with your card certificate, keep the prescription details and charging documents, and reimburse according to the manual process.

3. Get a new card.

15 After completing the card replacement procedures for new cards, the card changer can collect a new card at the social security card service outlets with his/her ID card and card collection certificate. The first issuance of social security cards is free. Due to theft, loss, damage and other reasons to replace the social security card, charge an appropriate fee. The unified standard for the replacement of social security cards in the province is 20 yuan, which is charged by the issuing bank corresponding to each social security card. All cooperative commercial banks must report to the price department before charging fees, publicize them at bank outlets, and issue corresponding charging bills to cardholders.

Legal basis:

People's Republic of China (PRC) social insurance law

Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 24 The state establishes and improves the new rural cooperative medical system.

Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.