How to inquire about the use record of medical insurance card?

The query method of medical insurance card records is as follows:

1. Insured employees can call the relevant telephone number to check the balance.

2. Inquiries can also be made at China Bank Savings Office or designated hospitals and pharmacies in urban areas.

3. Online inquiry:

Log in to the city's social security card information network.

② After entering, you will see the user login interface, and enter the personal social security card insurance number and password in the text box.

Social medical insurance card, referred to as medical insurance card or medical insurance card, is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, account capital expenditure and consumption are stored and recorded.

The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.

Application mode

1, scope of use of medical insurance card: When insured employees go to designated hospitals and pharmacies for medical treatment, they can swipe their cards on POS machines with their passwords, but they cannot withdraw cash or transfer money.

2. Inquire about the balance of medical insurance card: Insured employees can inquire about the balance by telephone, or at the Bank Savings Office of China or the designated hospitals and pharmacies in the urban area. You can also log in to the social security inquiry system online.

3. Inquiries about medical insurance card transactions: Insured employees can print medical insurance card transaction records, including personal account payment records and consumption records, at China Bank Savings Office. If you have any questions about the transaction records, you can go to the retail business department of Bank of China.

4. Medical insurance card password: The insured employees can change their passwords by phone or bring their ID cards to the Bank of China Savings Office. If the insured employee forgets his password, he can report the loss of the original password with his ID card to China Bank Savings Office and change it.

5. Custody of medical insurance card: Insured employees should keep the medical insurance card properly. If you accidentally lose it, please immediately issue a letter of proof to the unit and stamp it at the medical insurance office for confirmation, and then report the loss to China Bank Savings Office with your ID card and go through the formalities of replacement. After 7 days, they can get a new card.

6. Precautions:

In the pharmacy 100% will bear it by itself, and hospitalization can only enjoy the reimbursement ratio (which must be within the scope of medical insurance).

If the hospitalization is within the scope of medical insurance, the scope of reimbursement is between 55% and 65% according to the actual amount of expenses incurred, such as 10000 yuan.

Use process

Using medical insurance card in designated hospitals

(1) When seeing a doctor in a designated hospital, show the medical insurance card to prove the identity and registration of the insured. Individuals do not need to pay first and then reimburse, and medical insurance and hospitals can directly settle the part of medical insurance reimbursement. Only when the account is settled, the self-funded part will be paid by 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.

Hospitalization expenses are settled by post-paid service items.

First, the conditions of medical insurance for urban residents

Unemployed residents aged 1 and 18 (inclusive);

2./kloc-urban residents under 0/8 years old

(1) Infants (excluding those born within 28 days);

② Preschool children;

③ Primary and secondary school students (registered students in secondary specialized schools, technical schools, secondary vocational and technical schools and special schools).

3, has participated in the medical insurance for urban workers and terminated the labor relationship with the enterprise, did not apply for medical insurance in succession;

Two, urban residents medical insurance payment standard

1, payment standard for general population

① The payment standard of medical insurance for registered urban residents in this city is 120 yuan per person per year;

② The payment standard of medical insurance for urban residents who are not registered in this city is 509 yuan per person per year.

2. Payment standard for special people

Special groups such as low-income households, five-guarantee households, orphans, severely disabled people, and pure two-woman ligation households are fully subsidized by the government, and individuals do not pay fees.

Third, medical insurance for urban residents.

1, urban registered residents

If the family pays the fee and has gone through the insurance withholding formalities, it is necessary to ensure that the balance of the deduction passbook is sufficient; Those who have not applied for insurance registration shall go through the insurance and bank withholding formalities at the human resources and social security service office of the town (street) where the household registration is located with the original and photocopy of the household registration book, ID card and bank card (passbook).

2. Rural registered residents

The village (community) committee shall organize the registration and collection of medical insurance for urban and rural residents, and the town (street) human resources and social security service institutions shall be responsible for handling the relevant insurance and change procedures.

3. Students at school

You can participate in the insurance payment with your family, or you can participate in the insurance with the school as the unit.

Four, urban residents medical insurance treatment standard

1, hospitalization

① The reimbursement rate of community health service centers and town hospitals is 85%;

② The reimbursement rate of first-class hospitals is 75%;

③ The reimbursement rate of secondary hospitals is 70%;

④ The reimbursement rate of tertiary hospitals is 55%.

2. Outpatient medical treatment

① Qifubiaozhun for medical expenses is 50 yuan;

② Outpatient co-ordinate the highest payment of 900 yuan;

3, outpatient chronic disease medical treatment

The qifubiaozhun for outpatient chronic diseases in one year is 500 yuan.

4. Outpatient medical care for students and children

The maximum compensation limit for accidental injury of students and children who meet the relevant regulations can reach 5000 yuan.

Legal basis:

Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law

Article 8 The medical expenses incurred by the insured in the agreed medical institutions shall be paid by the basic medical insurance fund in accordance with the provisions of the state if they meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.