Job Recruitment Website - Social security inquiry - Does the hospital need social security card reimbursement?
Does the hospital need social security card reimbursement?
1, can be reimbursed, but generally this will not happen, because when in hospital, the doctor will ask clearly that if it is a work-related injury, the injured person will not be given a medical insurance card; 2. Medical insurance and work-related injury insurance belong to two parallel types of insurance under social insurance, which do not affect each other. The use process of medical insurance card in designated hospitals (1) When you go to a designated hospital for medical treatment, you can show your medical insurance card to prove your insured identity and registration. Individuals do not need to pay first and then reimburse, and can directly settle the medical insurance reimbursement with medical insurance and hospitals. Only when the account is settled can the self-funded part be paid with the balance of the medical insurance card or cash. (2) There is a deductible for hospitalization reimbursement (the deductible standard is generally 10% of the average annual salary of employees in the whole city last year), which means that the money outside the deductible needs to be paid by itself, and the reimbursement ratio varies from place to place, and different hospitals and different projects are different, about 80%. You can go to the local labor and social security online for details. If a patient with a medical insurance card wants to go to the hospital after getting sick, the process of going to the designated medical insurance unit with a medical insurance card is as follows: When the insured is sick, he can go directly to the local designated medical institution with a medical insurance manual and an IC card. The general process is as follows: holding the medical insurance manual and IC card-going to the hospital medical insurance office to register-checking the card-paying the hospitalization deposit-hospitalization-self-funded items need the patient's consent and signature-using cash or IC card to settle the self-paid part of the deductible standard and the self-paid proportion-the hospital pays the expenses within the overall scope-settling and discharging. Hospitalization expenses are settled by post-paid service items.
Legal objectivity:
Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations. 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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