Job Recruitment Website - Social security inquiry - Is the inspection at your own expense or medical insurance card?

Is the inspection at your own expense or medical insurance card?

Legal analysis: medical insurance card cannot be used for physical examination. First, the coverage of basic medical insurance for enterprise employees is mainly the medical expenses incurred due to illness treatment. Maternity physical examination does not belong to the scope of payment of basic medical insurance for enterprise employees, and the balance of personal account fund in social security card can only be used to pay the self-paid part of medical expenses within the scope of medical insurance. Two, maternity medical examination fees should be included in the scope of payment of maternity insurance benefits, the current maternity insurance Medicaid in the application of maternity insurance benefits to implement a fixed payment. The maternity insurance fund compensates the unit in the form of maternity allowance.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

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.

Fifty-fourth employers have paid maternity insurance premiums, and their employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund.

Maternity insurance benefits include maternity medical expenses and maternity allowance.

Fifty-fifth maternity medical expenses include the following:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.

Fifty-sixth employees in any of the following circumstances, can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.

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The above answer is only for the current information combined with my understanding of the law, please refer carefully!

If you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.