Rules for using the balance of medical insurance card

How to use the medical insurance card and its scope of use (1) The medical insurance card can be used when you go to see a doctor again. First of all, you must show your social security card when registering, and pay your own expenses and expenses in cash. The hospital will issue a bill for the insured; Secondly, take the initiative to show the social security card and the emergency medical record manual of Beijing medical institutions to the doctor when visiting a doctor; Thirdly, the social security card and payment documents must be handed over to the settlement personnel to pay personal and self-funded expenses; Finally, after getting the settlement documents, carefully check the contents of the documents and recover the social security card. Insured persons who have received social security cards must show their social security cards when seeking medical treatment in designated medical institutions that have opened card-based medical settlement services. If the social security card is not presented, the expenses incurred shall be borne by the individual in full, and the medical insurance fund cannot pay it. If the insured person goes to the hospital for emergency treatment, family planning surgery, enterprise arrears, replacement of cards, failure to issue cards after enrollment, etc. The medical expenses incurred can be paid in cash by the individual first and then reimbursed by the medical insurance agency according to the original process. (2) Medical insurance card reimbursement. After holding a card for medical treatment, the patient only bears the medical expenses that the individual should bear, and the expenses that should be reimbursed are directly settled by medical institutions and medical insurance departments. Cardholders encounter four special situations and need to pay medical expenses in full in cash before reimbursement: First, they don't bring social security cards in the emergency department; Second, family planning surgery; Third, enterprises owe medical insurance premiums; Fourth, during the replacement of social security cards.

Legal objectivity:

Article 64 of the full text of People's Republic of China (PRC) Social Insurance Law: Social insurance funds include basic old-age insurance funds, basic medical insurance funds, industrial injury insurance funds, unemployment insurance funds and maternity insurance funds. In addition to the basic medical insurance fund and maternity insurance fund combined accounting, other social insurance funds are accounted for separately according to social insurance types. Social insurance funds implement a unified accounting system throughout the country. The social insurance fund is earmarked for special purposes, and no organization or individual may occupy or misappropriate it. The basic old-age insurance fund will gradually implement national overall planning, and other social insurance funds will gradually implement provincial overall planning. The specific time and steps shall be stipulated by the State Council.