Why should Guangzhou medical insurance card be fixed?

Medical insurance card (hereinafter referred to as medical insurance card) is a special card for personal account of medical insurance. It takes personal identity card as the identification code, and stores and records detailed information such as personal identity card number, name, gender, allocation and consumption of account funds. The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the medical insurance office (hereinafter referred to as the medical insurance office) will entrust the bank to transfer the personal account funds into the personal medical insurance card of the insured employees at the end of the month. The scope of use of Guangzhou Medical Insurance Card is as follows: 1. Under normal circumstances, when you need to be hospitalized due to illness, you can take the medical insurance card and medical records to the designated hospital and settle the account with the medical insurance card. That is to say, some of them are paid by themselves at their own expense, and some medical insurance centers and hospitals reimburse and settle accounts. Second, if you transfer from a designated hospital to a secondary or tertiary hospital, the medical insurance card will be settled, as above. Three, critically ill, hospitalized in non designated hospitals, within 5 days to the city medical insurance center for emergency rescue disease identification, identified as emergency rescue disease, you can use the medical insurance card in the rescue hospital settlement. Four, transferred to other places for treatment, with the consent of the hospital and medical insurance center, for referral procedures. The expenses incurred in the field shall be settled by the individual at his own expense, and after the diagnosis and treatment, the community labor security workstation shall prepare the materials for reimbursement. Five, do special provisions of the disease (cancer, uremia, organ transplantation) that, in hospital, the same as above with medical insurance card settlement. The medical insurance card is still used when taking medicine out of the clinic, and the bills settled by individuals at their own expense will be reimbursed by the community labor security workstation this year. Six, there is a special situation, that is, the need for cataract phacoemulsification and intraocular lens implantation, choose a capable hospital (not necessarily a hospital designated by yourself). No hospitalization, direct outpatient surgery, still using the medical insurance card, first settled at their own expense, and reimbursed by the community labor security workstation after diagnosis and treatment. Tip: In order to better improve the medical insurance system and make the medical insurance card practical, Guangzhou will expand the scope of personal accounts and realize the function of one card for the whole family.

Legal objectivity:

The full name of medical insurance card is medical insurance card, which is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, payment and consumption of account funds are stored and recorded. The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the medical insurance institution will entrust the personal account payment to the insured employee's personal medical insurance card at the end of each month. The medical insurance card is an important voucher for the insured to purchase daily medical care. It is the carrier of personal account of medical insurance, which is used to record the basic information of the insured, including the basic medical insurance premium paid by the individual, the basic medical insurance premium paid by the employer in accordance with the prescribed proportion, other funds and interest. It is a non-financial special card for the insured to carry out basic medical consumption. Guidelines for Handling Medical Insurance Cards in Guangzhou: (1) Insured persons whose medical insurance cards are damaged will go to the account management section of the medical insurance center on June 5438+05-20 next month to inquire about the reasons for the damage and reissue the medical insurance cards, and get a new card with the receipt of the cards. (2) The insured person who reported the loss of the medical insurance card shall go to the account management section of the medical insurance center to report the loss with the company's letter of introduction and a copy of his valid ID card or household registration book, and get a new card with the card receipt on June 5438+05-20 next month. (III) Personal account transfer and account cancellation procedures When the insured person transfers, he must go through the transfer and account cancellation procedures at the account management section of the medical insurance center with his ID card, transfer letter of introduction and card. After the death of the insured, the person in charge of the unit or his family shall go through the formalities of account inheritance and cancellation at the account management section of the medical insurance center with the deceased's ID card, card and agent's ID card and death certificate. (4) Every month, the newly-added personnel will get their medical insurance cards from the account management section of the medical insurance center on June 5438+05-20 with the Employment Certificate, Transfer Certificate and Personnel Change Form. (5) The personnel who have been approved to retire shall go through the formalities of replacing the retirement card with the card of the unit administrator at the account management section of the medical insurance center. (6) Audit and settlement of outpatient medical expenses of designated medical institutions and pharmacies: check the outpatient data with hospitals and pharmacies on the day of each month, upload the outpatient data one by one in June-10 for audit, settle the personal account funds of hospitals and pharmacies after ensuring the accuracy of each record, and regularly check whether the prescriptions of pharmacies are complete and accurate. (7) The medical expenses paid in cash when the funds in the personal account are insufficient shall be offset by cash from the account management section of the medical insurance center with the outpatient medical expense statement, and the medical expenses incurred by medical personnel on business trips and in different places shall be offset by cash from invoices. (8) Unemployed persons shall obtain the medical insurance card from the account management section of the medical insurance center with the card receipt issued by the medical insurance center.