How to inquire about residents' medical insurance payment?

Residents' medical insurance payment inquiry is as follows:

1, online query, log on to the website of the local medical insurance bureau, and you can see the detailed information of medical insurance cards around the country, and the balance query address list is all in it. Just click Enter to check the local medical insurance situation. People who need it can easily see how to do it. Click to enter the relevant city, and then enter your ID number, password or medical insurance card and other related information to enter the inquiry medical insurance card;

2. Make a phone call. In addition to online inquiries, you can also make phone inquiries. The telephone number of medical insurance card inquiry is the area code of the inquiry location plus 12333. Select "1" after listening to the voice prompt, select "1" after transferring to municipal users, and then transfer to "Labor Service" to provide my ID number. After checking that the name and company name are correct, you can inquire about personal payment records and consumption. This mobile phone can not only check the balance of medical insurance card, but also consult designated hospitals, medical insurance handling, payment, transfer and other related issues;

3. Mobile phone WeChat query: In WeChat software, find the "I" menu interface, find the "wallet" inside, and then find the "city service" menu in the "wallet". There is a menu bar with "five insurances and one fund", and there are two query items of "social security" and "provident fund" below. Just click to enter the "social security" menu bar, and you can enter. In the query interface, select "Personal Information Binding" and fill in personal social security information as required. After binding personal information, return to the upper interface, and select "Social Security Query" to enter the social security query interface. Just enter the start and end time to query, and then confirm. In the query results, you can see the company's purchase situation, purchase amount and personal payment;

4. Social Security Bureau inquiry. To apply for inquiry in the lobby window of the local social security bureau, you only need to bring personal identification materials and medical insurance cards to the window to inquire about the relevant information of employees' medical insurance. It can also be inquired through the self-service inquiry machine in the service hall of the city level and the medical insurance agencies in all districts and counties.

Residents' medical insurance clinics can be reimbursed, and the specific provisions are as follows:

1, outpatient reimbursement. If the hospital sees a doctor with minor ailments and pains, it will usually generate more outpatient expenses. Then the employee medical insurance can directly deduct the outpatient expenses from the personal account balance. If the outpatient expenses of the resident medical insurance exceed 200 yuan this year, it can be reimbursed according to the proportion of 50%, and the maximum payment limit is 400 yuan;

2, hospitalization reimbursement. There are new changes in the ups and downs of hospitalization this year, which are defined as a primary doctor in 200 yuan, a secondary hospital in 400 yuan and a tertiary hospital in 800 yuan. If the hospitalization expenses of the insured are above the deductible line, the reimbursement rate of employees' medical insurance can be divided into 88%, 85% and 82% according to the level of these hospitals, while the reimbursement rate of residents' medical insurance is 80%, 70% and 60% respectively, and the deductible line standard for more than two hospitalizations in the same natural year is 50% of the first deductible line standard.

3. Reimbursement conditions.

To sum up, residents' medical insurance clinics can be reimbursed.

Legal basis:

Article 23 of People's Republic of China (PRC) Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 24

The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25

The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.