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Is the medical insurance card universal in the whole province?
At present, the medical insurance management information systems in all provinces and cities in China are independent and disconnected from each other. As a result, the insured people who seek medical treatment in different places in and outside the province can only settle accounts with medical institutions in different places in cash first, which leads to the insured people being tired of running between the medical treatment place and the insured place. The main problems existing in the current medical insurance card are:
1, the card cannot be used.
2. It is difficult to reimburse after seeing a doctor.
3. The medical expenses have increased. The establishment of a national medical insurance card to facilitate the floating population to seek medical treatment has attracted great attention from all levels, including Ministry of Human Resources and Social Security and the Ministry of Health.
Expand data and use medical insurance cards in designated hospitals.
(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 outside 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%.
If a patient with a medical insurance card wants to go to the hospital after getting sick, the process of going to the designated medical insurance unit with a medical insurance card is as follows: When the insured is sick, he can go directly to the local designated medical institution with a medical insurance manual and an IC card.
The general process is as follows: holding the medical insurance manual and IC card-going to the hospital medical insurance office to register-checking the card-paying the hospitalization deposit-hospitalization-self-funded items need the patient's consent and signature-using cash or IC card to settle the self-paid part of the deductible standard and the self-paid proportion-the hospital pays the expenses within the overall scope-settling and discharging.
Baidu encyclopedia-social medical insurance card
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