Job Recruitment Website - Social security inquiry - Can I apply for medical insurance after commercial insurance is reimbursed first?
Can I apply for medical insurance after commercial insurance is reimbursed first?
The reason is that residents' medical insurance reimbursement needs the original invoice of medical expenses, and you don't have the original invoice when you reimburse commercial insurance. First, reimburse residents for medical insurance, and the rest can be reimbursed by commercial insurance with the medical insurance reimbursement split sheet.
Commercial insurance and medical insurance are usually not reimbursed at the same time. Generally, medical insurance is reimbursed first, and then commercial insurance is reimbursed. Social security can only reimburse medical expenses within the scope of the medical insurance catalogue, and the reimbursement amount is relatively limited. After the completion of social security reimbursement, commercial insurance can be used for supplementary reimbursement. According to the principle of cost compensation, the total amount of medical insurance reimbursement and commercial medical insurance reimbursement in social security will not be higher than the actual total medical expenses.
First, the medical insurance card needs the following information:
1. Business license, registration certificate or seal of the employer;
2, the unit and the employee's labor contract or employee roster;
3, the unit for medical insurance card personnel's original ID card and its copy, etc.
Second, the medical insurance process:
1. If the parties have an employer, the employer shall first apply for social security registration;
2, and then submit the business license of the unit, the identity information of the parties and other materials;
3, and then audited by the social security agency;
4. Finally, according to the social security card issued to the unit, the unit shall pay the medical insurance premium according to the regulations;
5. If a party has no unit, he/she shall bring his/her ID card and other materials to the social security agency for social security registration, license and payment.
In short, medical insurance and commercial insurance cannot be reimbursed at the same time. Generally, medical insurance is reimbursed first, and then commercial insurance, because not all medical insurance can be reimbursed, and medical insurance can only be reimbursed if it reaches the amount stipulated by law. However, some medical insurance cannot be reimbursed, and this part cannot be reimbursed. Generally, it is reimbursed through commercial insurance. Therefore, when medical insurance is reimbursed, you can tell the staff that commercial insurance must be reimbursed first, so general medical insurance should be reimbursed first.
Legal basis:
People's Republic of China (PRC) social insurance law
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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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