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Is the medical insurance in e-cert universal?
Electronic medical insurance certificate, also known as electronic social security card, is an effective electronic certificate for online application of social security card. One-to-one correspondence and unique mapping with entity social security cards are uniformly issued by the national social security card platform and managed by Ministry of Human Resources and Social Security. The electronic social security card, like the entity social security card, is unified and universal in the whole country, and has the functions of identification, information recording, self-inquiry, medical insurance settlement, payment and treatment collection, financial payment and so on. The specific function is as follows: 1. Identity authentication: Social security card is the electronic certificate for cardholders to handle various social security businesses, apply for various social insurance benefits and settle medical insurance; 2. Information inquiry: Cardholders can inquire about their basic information, the payment of various social insurances, the approval and payment of social security benefits, the allocation and consumption of personal medical insurance accounts, etc. Through relevant service outlets and authorized self-service terminals; 3. Social security payment: the cardholder can use the financial account of the social security card to realize social security payment; 4. Receiving benefits: social insurance agencies use the financial account of social security cards to issue various social insurance benefits to cardholders; 5. Expense settlement: When the insured goes to designated medical institutions and pharmacies for medical treatment, medicine purchase, outpatient service and hospitalization, the related expenses will be settled in real time with the social security card; 6. Financial function: It can be used as an ordinary UnionPay debit card, with financial functions such as cash deposit and withdrawal, transfer, consumption and wealth management, and is suitable for all ATMs or POS machines with UnionPay logo in China.
Legal basis:
People's Republic of China (PRC) social insurance law
Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Article 24 The state establishes and improves the new rural cooperative medical system.
Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.
Derivative problem:
What are the functions of the electronic social security card?
Electronic social security card function: 1. Replace the entity social security card to realize online identity authentication; 2. It can be used for fast registration and login of government portal websites; 3. Be able to query all kinds of personal information online; 4. You can apply for online business; 5. It can be used for online payment. The electronic social security card, like the physical social security card, is unified and universal in the whole country, and has the functions of identification, information recording, self-inquiry, medical insurance settlement, financial payment and so on.
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