Job Recruitment Website - Social security inquiry - How to inquire about employee medical insurance?
How to inquire about employee medical insurance?
1, social security center query:
If you don't know your social security account number, you can bring your ID card to the business hall of social insurance agencies in various districts to inquire;
2. Online inquiry:
Log in to the city's labor security network or social insurance business website, click the "personal social security information inquiry" window, enter my ID card and password (password is your social security number or the date of birth of your ID card), and inquire about my insurance information;
3. Telephone consultation:
Call the labor and social security comprehensive service telephone number "12333" for policy consultation and information inquiry;
4. Touch screen query:
If there is a social insurance touch screen inquiry system in the business hall of social insurance agencies in each district, swipe your card or enter the card number or ID number according to the screen prompts for inquiry.
Employee medical insurance reimbursement process is as follows:
1. Medical registration: bring valid employee medical insurance card, ID card and other relevant documents to the medical institution for registration before medical treatment;
2. Payment of medical expenses: In the process of seeking medical treatment, medical expenses need to be paid. You can choose cash, bank card, Alipay and other payment methods.
3. Expense settlement: Medical institutions will provide expense lists and related invoices, and related materials such as expense lists, invoices and medical insurance cards need to be submitted to the hospital medical insurance window;
4. Reimbursement application: according to the medical insurance regulations, it is necessary to fill in the application form for employee medical insurance reimbursement and submit the required materials, such as expense list, invoice, medical diagnosis certificate, doctor's prescription, etc.
5. Review reimbursement: The medical insurance institution reviews the reimbursement application and checks the authenticity and legality of the expense list and related materials. After the examination and approval, the medical insurance institution will reimburse the eligible expenses, and the reimbursement amount will be credited to the bank account or refunded in other ways.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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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