Why can't you get reimbursed for a doctor's visit with your social security card

Social security card can not be reimbursed what are the reasons why the social security card to see the doctor can not be reimbursed a. Social security is broken

After the social security is broken, the health insurance information system will judge the abnormal state, this time if you are sick and need to reimbursement of medical expenses, you can not be reimbursed.

ii. Social security has not paid enough time

According to the individual identity of the insurance, must be paid for a full year, before you can enjoy the health insurance treatment. If you are insured by an employer for an employee, you can enjoy the health insurance benefits only in the month following the payment of contributions.

iii. Social security card demagnetization

Social security card demagnetization due to the inability to read the information, such a situation also happens from time to time.

The participants can take the card and ID card to the local health insurance agency when they have time to check whether the card is demagnetized, and if it is, they can continue to use it with the ID card.

iv. Drugs are not covered by Medicare

The drugs included in the basic medical insurance coverage are divided into two categories: Class A and Class B. The drugs are not covered by Medicare.

Class A drugs are drugs that are basically uniform across the country and can ensure the basic needs of clinical treatment. The cost of these drugs is included in the basic medical insurance fund, and the cost is paid according to the basic medical insurance payment standard.

The catalog of Class B drugs is adjusted by provinces, autonomous regions and municipalities directly under the central government according to their own situation. Class B drugs are first paid for by the employees to a certain percentage of the cost, and then included in the basic medical insurance fund to pay for the scope, and according to the basic medical insurance payment standards to pay for the cost.

The medicines that are not covered by the basic medical insurance include:

(1) medicines that are mainly nutritional tonic;

(2) some of the animals and animal organs that can be used as medicines, dried (water) fruits;

(3) all kinds of wine preparations made from Chinese herbal medicines and Chinese herbal medicinal herbs;

(4) all kinds of medicines in the fruit-flavored preparations, oral effervescent preparations;

(5) blood products, Protein products (except for special indications and first aid, rescue);

(6) social insurance administrative department stipulates that the basic medical insurance fund does not pay for other drugs.

V. Hospitalization of living services and services and facilities

The basic medical insurance fund does not pay the cost of living services and services and facilities, mainly including:

(1) consultation (referral) transportation fees, emergency ambulance fees;

(2) air-conditioning fees, television fees, telephone fees, baby warming box fees, food warming box fees;

(3) accompanying fees, nurse fee, cleaning fees, outpatient decoction fee;

(5) the basic medical insurance fund does not pay the cost of living services and services and facilities, mainly including:

(6) other drugs prescribed by the social insurance administrative department.

(4) Meals;

(5) Recreational activities and other special living services.

VI. Payment from the Work Injury Insurance Fund

In the medical rehabilitation treatment for work injuries, the registration fee, medical rehabilitation fee, medicine fee, hospitalization fee and other expenses required for treating work injuries are in line with the catalog of diagnostic and therapeutic items of work injury insurance, the catalog of medicines of work injury insurance and the standard of work injury insurance inpatient services and are paid from the Work Injury Insurance Fund, and the basic medical insurance fund will not pay for this part of the expenses.

vii. Should be borne by the third party

Injuries caused by traffic accidents, medical malpractice or other accidents of responsibility, the medical expenses should be borne by the third party in accordance with the law.

If the third party does not pay or the third party cannot be identified, the basic medical insurance fund will pay first.

The basic medical insurance fund shall have the right to recover from the third party after the first payment.

viii. Should be borne by the public **** health;

public **** health is mainly provided by the government, including immunization, maternal and child health care, emergency treatment, blood collection and supply, as well as the prevention and control of infectious diseases, chronic diseases, endemic diseases.

ix. Treatment in Hong Kong, Macao, Taiwan or abroad

If you go out of the country for traveling, visiting relatives, studying and training, or engaging in business activities, the medical expenses incurred for medical treatment outside of the country will not be paid by the basic medical insurance fund, and can be solved by participating in the medical insurance of the host country or purchasing commercial insurance.

X. Non-disease treatment program category

Now, people are more and more tireless in the pursuit of beauty, cosmetic surgery is more and more people, but cosmetic surgery is not reimbursed by health insurance Oh!

A variety of beauty, fitness programs and non-functional cosmetic surgery, orthopedic surgery, weight loss, weight gain, height increase projects can not be reimbursed by the health insurance. In addition, a variety of health checkups and preventive, health care diagnostic and treatment programs, medical consultation, medical evaluation, etc., are not in the medical insurance reimbursement.

If, on the other hand, you find yourself in a situation where you can't get reimbursed for your social security card, then look at the above to see if you're disconnected or if your card has been demagnetized. There are some specific health insurance fund does not pay the content, partners want to know, you can go to the local human resources and social security bureau to consult in detail Oh ~

Today is a legal society, a lot of life is closely related to the things are inseparable from the law, so we should have knowledge of some of the usual legal knowledge.