Job Recruitment Website - Social security inquiry - What is the daily limit of social security card?
What is the daily limit of social security card?
The medical insurance card has no limit every day, but there is a maximum payment limit in a year, which refers to the maximum medical expenses paid by the basic medical insurance fund to the insured in a medical year. The current standard is about four times the average wage of employees in this city last year. For example, if the average salary of employees last year was 10000 yuan, then the maximum payment limit was about 40000 yuan. The reimbursement rate of the insured in the hospital will also vary according to the selected medical insurance level and the hospital level of medical treatment.
The scope of use of social security card:
1, medical services: social security cards can be used to pay outpatient fees, hospitalization fees, medicine fees, etc. ;
2. Drug purchase in pharmacies: purchase drugs at designated pharmacies with social security cards, and settle directly by credit card;
3. Social security benefits: used to receive social insurance benefits such as pensions and unemployment benefits;
4. Information query: it can be used to query personal social security information and medical expense records.
5. Public services: Social security cards in some areas also have the function of identity authentication, which can be used for public services.
To sum up, social security cards and medical insurance cards have no daily limit, but medical insurance cards have a maximum payment limit of one year, which is about four times the average salary of employees in this city last year, and the reimbursement ratio of insured people in hospitals will vary according to the level of medical insurance and the level of medical hospitals.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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