Can my spouse's social security card be reimbursed for hospitalization?

The reimbursement of hospitalization expenses involves personal medical insurance rights and interests and must be strictly implemented in accordance with relevant regulations. Everyone's social security card is closely related to their own identity information, including personal medical insurance payment records and reimbursement records. These records are an important basis for determining individual medical insurance benefits and reimbursement amount.

When an individual is hospitalized, the hospital will check with the medical insurance department online according to the social security card information provided by him to confirm the individual's eligibility for medical insurance payment and reimbursement. If an individual uses his spouse's social security card for reimbursement, it will not only fail to pass online verification, but also involve illegal acts of medical insurance fraud and may face legal responsibility.

If the spouse is willing to pay the hospitalization expenses for the other party, he can choose other ways, such as personal transfer or cash payment. However, please note that these payment methods do not meet the conditions of medical insurance reimbursement, so the final expenses need to be borne by individuals.

To sum up:

Hospitalization can't be reimbursed by the spouse's social security card, because it involves the strict provisions of personal medical insurance rights and interests. Individuals use social security cards to enjoy medical insurance benefits and ensure the legality and accuracy of reimbursement.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 63 provides that:

If the employer fails to pay social insurance premiums in full and on time, the social insurance collection agency shall order it to pay or make up within a time limit. If the employer fails to pay or repay the social insurance premium within the time limit, the social insurance collection agency may inquire about its deposit account in banks and other financial institutions; And can apply to the relevant administrative departments at or above the county level to make a decision on the allocation of social insurance premiums, and notify their bank or other financial institutions in writing to allocate social insurance premiums. If the balance of the employer's account is less than the social insurance premium that should be paid, the social insurance collection agency may require the employer to provide guarantee and sign a deferred payment agreement. If the employer fails to pay the social insurance premium in full and fails to provide guarantee, the social insurance collection agency may apply to the people's court to seal up, detain or auction the property whose value is equivalent to the social insurance premium that should be paid, and the proceeds from the auction will be used to offset the social insurance premium.

People's Republic of China (PRC) social insurance law

Article 88 provides that:

Whoever defrauds social insurance benefits by fraud, forgery of certification materials or other means shall be ordered by the social insurance administrative department to return the defrauded social insurance benefits, and a fine of not less than two times but not more than five times the amount defrauded shall be imposed.

Validation of laws and regulations: June 2024 17