Social insurance regulations provide students with social security card for what purpose?

The main role of the student social security card by the medical insurance agency for the insured person for medical treatment, purchase of medicines for identification, record, storage of personal account funds and the use of electronic information card. The main role of the student social security card embodied in the medical treatment, see the doctor, buy drugs and reimbursement.

Nowadays, students are applying for social insurance cards, that students do social security card what is the use of it? The main thing is to buy medicine, hospitalization, reimbursement of medical expenses. The reimbursement rate has several levels: 35%, 45%, 55%, 65%, 70%, 80%, etc., but also according to the first two or three levels of hospitalization, respectively. Here to see the relevant laws I organized, read together.

First, the main role of the student social security card by the health insurance agency for the insured medical treatment, purchase of medicines for identification, records, storage of personal account funds and the use of electronic information card. The main role of the student social security card reflects the medical treatment, see a doctor, buy drugs and reimbursement.

The reimbursement standard of student social security card

(a) In the outpatient outpatient medical expenses incurred in accordance with the provisions of the following proportion to be reimbursed, the rest of the individual out of pocket:

1, medical expenses less than 1,000 yuan of the portion of the reimbursement of 35%.

2. 45% of the medical expenses above 1000 RMB (including 1000 RMB) and less than 5000 RMB.

3. For medical expenses above 5000 RMB (including 5000 RMB) and less than 10000 RMB, 55% will be reimbursed.

4. 65% reimbursement for the portion of medical expenses above 10,000 yuan (including 10,000 yuan).

(2) Medical expenses incurred in hospitalization in accordance with the provisions of the following ratio will be reimbursed, and the rest will be paid by the individual, and the medical expenses for multiple hospitalizations within the year will be calculated cumulatively:

1. The portion of the medical expenses less than 10,000 yuan will be reimbursed at 55%, 65% and 75% for those who are in the third-level, second-level, and first-level healthcare institutions, respectively.

2. For medical expenses above 10,000 RMB and less than 20,000 RMB, the reimbursement rate is 60%, 70% and 80% for those who seek medical treatment at Level 3, Level 2 and Level 1 medical institutions respectively.

3. The reimbursement rate for the part of medical expenses above 20000 RMB (including 20000 RMB) is 65%, 75% and 85% for the part of medical expenses in third-level, second-level and first-level medical institutions respectively.

Second, the reimbursement standard for elementary school students

The reimbursement rate for those who have participated in medical insurance contributions for two consecutive years is increased by 5%. The reimbursement rate for each level of hospitals: $480 out-of-pocket for level 3 hospitals, 65% reimbursement, $240 out-of-pocket for level 2 hospitals, 70% reimbursement, $120 out-of-pocket for level 1 hospitals, 80% reimbursement.

Third, the student social security card application materials

1, the participant's original ID card and a copy (16 years old and under no ID card can provide a household book).

The social security card is an electronic information card used to identify, record, and store personal account funds and their use by the health insurance agency for the participant's medical treatment and purchase of medication. Students do social security card mainly refers to the medical insurance card, for you in the school period occurred in the disease, medical treatment, etc., can be reimbursed part of the social security card.

Because most parents are not clear about the use of the social security card for students, the use of this card is briefly explained as follows: the student's social security card is issued by the Construction Bank, there is no money in the card, which can be used as a livestock storage card.

Claims description:

(a) general outpatient: within one year, the participant in the designated community health clinic or community outpatient clinic costs incurred in the cumulative total of not more than 200 yuan of the part of the fund in accordance with the standard 20%, the exceeding part of the individual cash payment.

(2) Hospitalization: When a participant is hospitalized in a designated medical institution due to illness, the starting standard and the costs to be borne by the individual shall be paid by the individual for the costs that are in line with the scope of payment of the urban residents' medical insurance fund. The remaining part of the medical insurance agency and the designated medical institution settlement.

(C) outpatient treatment of prescribed diseases: insured residents suffering from the following diseases: for example, leukemia treatment, etc., in the designated medical institutions to receive outpatient treatment of fixed medical expenses incurred by the residents of the medical insurance fund in accordance with the prescribed proportion.

(d) accidental injury compensation treatment: in the residents of the medical insurance fund within the scope of payment of the cumulative more than 200 yuan, the residents of the medical insurance fund to pay 80%. In one year, the maximum payment limit of 2000 yuan (including a certain percentage of the individual part of the burden).

(E) Starting standard and maximum payment limit:

80% of the maximum general outpatient;

hospitalization up to 120,000 yuan.

The starting line for reimbursement from the student hospitalization fund is 100 yuan for a first-class hospital, 300 yuan for a second-class hospital, and 800 yuan for a third-class hospital. The reimbursement rate is: the first class of insured students school hospital (school hospital for the second level and below) and off-campus hospitals 80%, off-campus hospitals 70% of the second level, off-campus hospitals (school hospitals for the third level) 60%, the second class on the basis of the increase of 5 percentage points. The reimbursement ceiling for the academic year: 80,000 yuan for the first grade, 120,000 yuan for the second grade.

The above summarizes the details of the social security card for students. Answered the question of what is the use of the social security card for students. The main thing is to get reimbursed for the treatment and purchase of medicines. The social security card is divided into outpatient and hospitalization. Outpatient treatment not exceeding 200 yuan is paid 20% by the integrated fund. Hospitalized individuals to pay the starting standard amount and personal burden part, the rest of the medical insurance office settlement.