Liangshan county medical insurance bureau telephone

Liangshan County Medical Insurance Bureau Tel: 0537-7366075; 0537-73 10069。

Medical insurance handling inquiry method:

1. Operating environment: MacBook, macOS( 10. 15.7) system, Google browser, official website from the Human Resources and Social Security Bureau, official website from the Human Resources and Social Security Bureau, and input your own social security code, password and verification code.

2. Check with the local social security bureau and call the social security bureau service number 12333.

3. Bring your ID card, medical insurance card or social security card to the business hall of the local social insurance agency for enquiry.

: medical insurance

Medical insurance refers to the insurance that pays the insurance premium on the condition that the medical behavior agreed in the insurance contract occurs, and provides protection for the medical expenses of the insured during the medical treatment. Medical insurance has the basic characteristics of social insurance, such as compulsion, mutual assistance and sociality. Medical insurance, like other types of insurance, collects medical insurance premiums from people threatened by diseases in advance in the form of contracts and establishes medical insurance funds; When the insured goes to a medical institution for medical treatment, the medical insurance institution will give him some economic compensation.

Medical insurance reimbursement scope:

1, medical insurance card reimbursement is limited to medical expenses above hospitalization in designated hospitals due to diseases and some accidents.

The reimbursement formula is: (total cost-threshold cost-self-funded cost-cost overrun) *(75+ age *0.2)%. In general, the actual reimbursement rate ranges from 20% to 60%.

Self-funded drugs are not reimbursed, 80% of Class B drugs are reimbursed, bed fees are limited, and some inspection fees and medical treatment fees according to regulations cannot be reimbursed.

2. The reimbursement amount of medical insurance card is 4 times of the average salary of local social workers (1 year cumulative value).

3. The money in the medical insurance card can be used to buy medicines at designated pharmacies and pay for outpatient and emergency expenses, but it does not belong to the category of reimbursement, because the money in the medical insurance card is the money in the medical insurance personal account.

4, serious illness insurance reimbursement

After the insured suffers from a serious illness, if it occurs in the designated medical institution of the municipal medical insurance and meets the requirements of the municipal medical insurance, the individual pays part, which is included in the payment scope of the residents' serious illness insurance, and is reimbursed by the serious illness insurance fund by 50%. That is, the reimbursement amount = self-funded part ×50%.