How does Kunshan Medical Insurance inquire about personal accounts?

First, log in to the national medical insurance card balance inquiry system and select the city where the individual is located to inquire;

Two, register or log in to the local personal social security inquiry system;

Three, click on the personal account of medical insurance, you can query the monthly medical insurance card refund details;

Fourth, you can also check it in Alipay. Open the mobile phone Alipay and log in; Find "City Service" on the main page; Then enter the social security query in the "government affairs" column; Click "Confirm Authorization" on the authorization page, and relevant information will appear on the page. Click "medical insurance column-personal account" and fill in personal information, and you will see the fund balance in the medical insurance card.

1, query the balance of medical insurance card.

Log in to official website of Kunshan Labor and Social Security Bureau and enter your personal ID card and social security number. Now the telephone inquiry mode has been turned on. Call 12333 according to the voice prompt.

2, Kunshan medical insurance card scope of use:

(1) The medical expenses incurred by the insured during hospitalization shall be borne by the overall fund;

(2) The outpatient medical expenses that continue to occur after the personal account of the insured is used up shall be borne by the overall fund; (3) The part of the medical expenses incurred by the insured during outpatient treatment that are approved to meet the scope of outpatient special disease care should be borne by the overall fund;

(4) The part of the medical expenses incurred in setting up family sickbeds in accordance with the regulations that should be borne by the overall fund. Further reading: How to buy insurance, which is good, and teach you to avoid these "pits" of insurance.

Personal account:

1, creating

The social medical insurance agency shall establish a personal account of basic medical insurance for each insured person, and take my ID number as the lifelong medical insurance number. The funds in the employee's personal account of basic medical insurance are owned by individuals and used for medical consumption. Overexpenditure is not covered, balance is accumulated, and cash is not withdrawn. When an employee dies, his personal account is cancelled and the balance is inherited according to regulations.

Step 2 distribute

The employing unit shall handle the personal medical account settlement card for employees while participating in the basic medical insurance. Within 30 days from the date of participating in medical insurance, the employer shall apply to the social medical insurance agency and provide relevant information. After receiving the application from the employer to establish a household for employees, the social medical insurance agency will carefully review the relevant materials, establish a personal account for employees within 15 days, and issue a personal account settlement card. Inject funds into the employee's personal medical account in time, and bear interest according to relevant regulations. Retirees placed in different places may not issue cards temporarily.

Insured persons can purchase drugs at any designated medical institutions and pharmacies in the overall planning area with personal medical account cards. When the funds in the personal medical account are insufficient, they will be paid in cash.

3. Transfer and inheritance

When the insured person is transferred out, the funds in the personal medical account will be transferred together. If you can't transfer, you can return the balance of your personal account to me and cancel your personal account at the same time.

If the insured dies, the balance of the personal account can be inherited by his legal heir.

4. Loss reporting and replacement

The insured shall properly keep the personal account card, and if it is damaged, it needs to be replaced with a new card, and the expenses shall be borne by the individual. If the personal account card is lost, it should be reported to the medical insurance agency or designated unit with relevant documents in time, and the medical insurance agency should immediately seal the account. If you can't find it within 30 days, you should apply for a new card at your own expense. The medical expenses incurred during the loss reporting period shall be paid in cash by the employee's personal account. If the personal account card is fraudulently used before reporting the loss, the insured shall bear the loss.

When the insured person purchases medicine for medical treatment and uses a card to settle medical expenses, the designated medical institutions and pharmaceutical service personnel should carefully verify, and those who find forged or fraudulently use the loss reporting card should be detained immediately, and the social medical insurance agency should be notified. Designated medical institutions and pharmacies shall not refuse the funds in the card or exchange cash for the cardholder.

Legal basis:

People's Republic of China (PRC) Social Insurance Law Article 4 Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights and interests records, and require social insurance agencies to provide social insurance consultation and other related services. Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.

Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.