Job Recruitment Website - Social security inquiry - Is Nanjing citizen card A a medical insurance card?
Is Nanjing citizen card A a medical insurance card?
Social medical insurance card (referred to as medical insurance card or medical insurance card) is a special card for personal account of medical insurance. It takes personal ID card as the identification code, and stores detailed information such as personal ID card number, name, gender, payment, account fund consumption, etc.
The medical insurance card is generally undertaken by the local designated agent bank, which is a kind of multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.
Use process
(1) When seeing a doctor in a designated hospital, show the medical insurance card to prove the identity and registration of the insured. Individuals do not need to pay first and then reimburse, and medical insurance and hospitals can directly settle the part of medical insurance reimbursement. Only when the account is settled, the self-funded part will be paid by the balance of the medical insurance card or cash.
(2) There is a deductible for hospitalization reimbursement (the deductible standard is generally 10% of the average annual salary of employees in the whole city last year), which means that the money above the deductible needs to be paid by itself, and the reimbursement ratio varies from place to place, and different hospitals and different projects are different, about 80%. You can go to the local labor and social security online for details.
After the medical insurance card is degaussed and lost, the social security card shall be replaced directly according to the regulations. The specific process is as follows:
(1) If the bank is the same before and after the card change, I will report the loss to the employee medical insurance card service bank with my valid certificate, and the street labor security service center will accept the social security card application with the bank loss report notice and my valid certificate for 45 working days. After receiving the social security card and injecting capital, the amount in the original medical insurance card will be automatically transferred to the social security card without clearing it.
(2) If the card is not the same bank before and after the card change, then the social security card collection process is the same. However, the amount in the original medical insurance card will not be automatically transferred to the social security card, and a valid certificate is required to issue the Notice of Clearing the Employee's Medical Insurance Card at the social security sub-center of the insured place. With the notice and my valid certificate, I will go to the original employee medical insurance card service bank.
Legal basis:
The Guiding Opinions of the General Office of the State Council on Establishing and Improving the Outpatient Mutual Assistance Mechanism for Employees' Basic Medical Insurance stipulates that personal accounts are mainly used to pay out-of-pocket expenses of insured persons within the policy scope of designated medical institutions or designated retail pharmacies.
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