Job Recruitment Website - Social security inquiry - Is Guangdong medical insurance card universal in the whole province?
Is Guangdong medical insurance card universal in the whole province?
First, the medical insurance card is not universal and is limited to the insured place. 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.
Second, when seeking medical treatment, show the medical insurance card to the designated hospital to prove the identity of the insured. At the time of checkout, the part paid by the individual is paid by medical insurance card or cash, and the part reimbursed by medical insurance is settled by medical insurance and hospital, so the individual does not need to pay first and then reimburse.
3. Reimbursement procedures for off-site referral personnel: registration and filing: go through the referral procedures according to your regulations on referral and treatment, choose the off-site referral medical institution, and go to the medical insurance agency where the insured relationship is located for direct settlement and filing with the referral confirmation form and social security card. The medical card and discharge settlement are the same as above.
Legal basis:
People's Republic of China (PRC) social insurance law
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.
Medical institutions shall provide reasonable and necessary medical services for the insured.
Derivative problem:
How to transfer online medical insurance from different places to local places?
The handling personnel can go through the transfer formalities at the social insurance transfer window of the People's Social Security Bureau with the payment voucher of basic old-age insurance, receipt of unemployment insurance, payment voucher of basic medical insurance, copy of the insured's ID card, and the transfer form of unemployment insurance relationship of on-the-job employees. If medical insurance is transferred across provinces, social security and medical insurance are two separate departments. When transferring medical insurance, you need to print the Certificate of Participation in Basic Medical Insurance, find the local social security online service hall to handle it, and then submit the materials to the social security bureau of the current place of employment with the certificate of participation.
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