How to reimburse medical expenses with electronic social security card

When you go to a designated medical institution or pharmacy, you can directly use the electronic medical insurance card for reimbursement.

When you go to a designated medical institution or pharmacy, you can directly use the electronic medical insurance card for reimbursement. In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, paid from the basic medical insurance fund.

Electronic medical insurance card to reimburse medical expenses, the process is as follows:

1. You can get a QR code after activating your medical insurance card e-certificate. You can directly let the hospital scan the QR code when you see a doctor.

2. The part that can be reimbursed is reimbursed immediately, and the part that cannot be reimbursed is directly deducted from the balance of the personal medical insurance account.

The difference between electronic social security card and entity social security card

1, different payment methods

Electronic social security card belongs to online social security card. When using the electronic social security card to pay medical expenses, the insured only needs to show the QR code of the electronic social security card or pay directly online. Social security card payment for medical expenses can only be completed by swiping the card at the designated doctor or pharmacy.

2. The forms of cards are different.

Entity social security card is a multi-functional entity IC card with a built-in maternal and child chip to record all kinds of information of the insured. Electronic social security cards exist in the form of the Internet and are displayed by mobile phones.

3. The accounts included are different.

Entity social security cards contain financial accounts, which can be used as bank cards and have the functions of cash deposit, withdrawal and transfer, while electronic social security cards do not have financial accounts.

The functions of electronic social security cards and physical social security cards are basically the same, but there are still many designated hospitals and pharmacies that do not support the use of electronic social security cards for the time being. However, it is gratifying that China will issue a unified standard electronic social security card this year. By then, electronic social security cards can be used nationwide.

The main difference between electronic medical insurance card and medical insurance card is that the former has no physical card, while the latter has physical card. In this regard, when we use the electronic medical insurance card, we need to find a hospital or pharmacy with this service and authority to use it, but the medical insurance card does not have this restriction.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

Legal basis:

Article 28 of the Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29 of the Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.