How to use social security to see a doctor in a hospital?

When going to a hospital for general medical treatment, you need to find a designated hospital for medical insurance, and you can only use the medical insurance card after seeing a doctor. Regular hospitals above the general district level are designated hospitals for medical insurance. After seeing the clinic, if you need to take medicine, take photos, do experiments, etc. When you need to pay, first take the outpatient bill to the medical insurance price. Remember not to go directly to the medical insurance window, and the staff will not handle it without pricing. After drawing the price, find the medical insurance window and hand over the documents and medical insurance cards after drawing the price to the staff. If the money in the medical insurance card is enough to pay, you can use the medical insurance card directly. If it is not enough, you need to pad the rest of the money yourself.

1, medical insurance is divided into two accounts.

Personal account: the money in the medical insurance card can be used to buy medicines at designated pharmacies, pay outpatient expenses and pay the part of hospitalization expenses that the individual pays; Overall account: managed by the medical insurance center. If the insured meets the local medical insurance reimbursement conditions, it will be paid by the overall account.

2. Citizens participating in medical insurance use social security cards to seek medical treatment, purchase medicines, settle medical expenses and handle medical insurance affairs, which is the same as using medical insurance special (magnetic stripe) cards. The original medical insurance benefits of citizens participating in medical insurance remain unchanged, and citizens still enjoy medical insurance benefits in accordance with the provisions of the Measures for Basic Medical Insurance for Employees in Provinces and Cities.

3. When seeking medical treatment, show the medical insurance card to the designated hospital to prove the identity of the insured. At the time of checkout, the part paid by the individual is paid by medical insurance card or cash, and the part reimbursed by medical insurance is settled by medical insurance and hospital, so the individual does not need to pay first and then reimburse.

4. The social security card is used to handle medical affairs, and the remaining amount in the personal account of the insured citizen can be carried forward for use, which will not be invalid due to the use of the social security card, and the insured citizen will not lose personal account funds due to card replacement.

What's the use of social security card?

1, used as ID card: Social security card can be used as ID card under special circumstances because it is made according to personal identity information and extracts personal identity information and avatar.

2. Used as a bank card: Social security cards, like bank cards, have chips on them. There are two accounts in this chip, one is a medical insurance account and the other is a bank account, both of which have money. As long as you take the relevant documents to the bank for activation, you can use the money inside.

3. Payment: There is money in the social security card. When you go to the pharmacy to buy medicine or go to the hospital, you can pay with a credit card as a bank card, which is not only fast, but also does not need to bring too many cards when you go out.

4. Use the card when receiving the subsidy: the social security card contains unemployment insurance, maternity allowance, old-age insurance, pension and other money. You can directly enter this card to find out which money it is, which is very fast and convenient, and saves the trouble of handling other cards.

Legal basis:

Measures for basic medical insurance for employees

Article 5

According to the basic medical insurance level and the city's economic and social development level to adapt, basic medical insurance benefits to maintain a reasonable gradient, improve the efficiency of the use of medical resources, timely adjust the basic medical insurance payment ratio, outpatient and emergency expenses standards, pooling fund Qifubiaozhun, pooling fund and additional fund payment ratio, pooling fund maximum payment limit. The specific adjustment plan shall be studied and demonstrated by the Municipal Human Resources and Social Security Bureau in conjunction with relevant departments, and shall be promulgated and implemented after being approved by the Municipal People's Government.

Article 30 of the Basic Medical and Health Promotion Law of People's Republic of China (PRC) promotes the graded diagnosis and treatment system of basic medical services, guides non-emergency patients to go to primary medical and health institutions first, implements the responsibility system of first diagnosis and referral review, and gradually establishes the mechanism of first diagnosis, two-way referral, fast and slow division of labor and linkage up and down, which is connected with the basic medical insurance system. The local people's governments at or above the county level shall, according to the medical and health needs of their respective administrative areas, integrate the medical and health resources organized by the local government, and establish cooperative medical service cooperation mechanisms such as medical consortia according to local conditions. Encourage medical and health institutions organized by social forces to participate in the medical service cooperation mechanism.