Job Recruitment Website - Social security inquiry - How to reimburse the social security card clinic?
How to reimburse the social security card clinic?
1. First of all, when the insured person goes to see a doctor, he will write a prescription to pay the fee after seeing a doctor with a social security card.
2. The insured person goes to the outpatient clinic with the registration form, and the doctor registers the insurance card at the registration office;
3. After the insured person takes the prescription to the hospital settlement window for pricing, he can directly brush the social security card to pay the medical expenses within the scope of medical insurance fund payment;
4. If some drugs in the prescription are not covered by the medical insurance fund, the insured needs to pay cash.
The social security payment period is as follows:
1, endowment insurance. According to the regulations, individuals who participate in the basic old-age insurance can receive a monthly pension if their cumulative payment period reaches 15 years and reach the legal retirement age;
2. Medical insurance. For the minimum payment period of medical insurance, the payment period will be different according to different regional policies. Generally, it is 30 years for male employees and 25 years for female employees. In economically developed areas, the payment period will be shorter, such as Beijing, where male employees are 25 years and female employees are 20 years;
3. Maternity insurance. Employees who enjoy maternity insurance-related benefits shall comply with national, provincial and municipal family planning regulations. According to different local policies, there may be differences in different regions. For example, the insured person of Changsha maternity insurance must pay for more than 10 months continuously and be in the insured state to enjoy maternity treatment;
4. Unemployment insurance. Pay unemployment insurance 1 year or more to enjoy unemployment insurance benefits;
5. Work injury insurance. As long as an industrial accident occurs within the specified working hours, you can enjoy industrial injury treatment.
To sum up, if the insured's medical expenses meet the basic medical insurance drug list, diagnosis and treatment items and other standards, he can directly bring his social security card, ID card and payment documents to pharmacies and designated medical institutions for settlement.
Legal basis:
Article 5 of People's Republic of China (PRC) Social Insurance Law
The people's governments at or above the county level will incorporate social insurance into the national economic and social development plan.
The state raises social insurance funds through multiple channels. People's governments at or above the county level shall give necessary financial support to social insurance.
The state supports social insurance through preferential tax policies.
Article 6
The state exercises strict supervision over social insurance funds.
The State Council and the people's governments of provinces, autonomous regions and municipalities directly under the Central Government shall establish and improve the supervision and management system of social insurance funds to ensure the safe and effective operation of social insurance funds.
People's governments at or above the county level shall take measures to encourage and support all sectors of society to participate in the supervision of social insurance funds.
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