Loudi medical insurance individual inquiry personal account inquiry

Individual health insurance account inquiry:

1, log on to the local human resources and social security bureau website, select "personal social security inquiries", "medical insurance personal account inquiry";

2, call the social security phone number 12333 query;

3, bring the relevant information, go to the social insurance service outlets, in the window for personal health insurance account query business!

Individual accounts include current year funds and calendar year funds. Current year funds refer to the preset individual account funds during the current year, and calendar year funds refer to the accumulated balance of individual account funds over the years.

The current year's funds in the individual account are used to pay for general outpatient (including emergency, the same below) medical fees and the costs of purchasing medicines at designated retail pharmacies in accordance with the regulations, which are in line with the scope of basic medical insurance expenses.

The funds in the individual account in previous years are used to pay for the general outpatient, outpatient and inpatient medical fees for specified diseases within the catalog of medicines and medical services of the basic medical insurance, which should be borne by the individual or taken care of by him/her according to the regulations, as well as the costs of medicines purchased at designated retail pharmacies according to the regulations.

Self-supporting refers to outpatient, hospitalization and above the starting standard and the starting standard should be borne by the individual proportion of the cost; self-care refers to the use of basic medical insurance drugs and medical services catalog of category B drugs and medical services, as well as other need to pay a certain percentage of the cost of the individual first.

Participants can use their personal accounts in accordance with the regulations during the period of enjoying the basic medical insurance benefits. During the period of suspension of basic medical insurance benefits, the use of the participant's personal account is suspended.

If an employee health insurance participant is transferred to other basic medical insurance, the actual balance of funds may continue to be used in accordance with the provisions of Articles 12 and 13.

Participating units with a large number of active employees working or residing abroad for more than one year (hereinafter referred to as overseas personnel) may entrust the management of the individual account funds of their overseas personnel to the participating units. After the insured unit registers its personnel abroad with the municipal health insurance administration organization in December of each year, the funds in the personal account of the relevant personnel in the following year will be allocated to the insured unit by the municipal health insurance administration organization on a monthly basis. After the termination procedures of the above personnel, their individual accounts will stop being allocated to the participating units.

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