Job Recruitment Website - Social security inquiry - Can social security reimburse medical insurance for the second time?
Can social security reimburse medical insurance for the second time?
Dear, I am glad to serve you: medical insurance can be reimbursed twice, and medical insurance cards can be reimbursed twice, but not all medical expenses can be reimbursed. Only when the insured pays more than the standard line of the second reimbursement can the second reimbursement be made. The deductible line of the second reimbursement is different in different city standards. Take Beijing, the capital of 202 1 as an example, the deductible line for the second reimbursement of urban and rural residents is 30,404 yuan, and that of urban workers is 39,525 yuan, that is, only after the insured person makes the first reimbursement, the expenses paid by the individual must exceed the deductible standard, and the second reimbursement can only be made if the excess is exceeded. The provisions of the second reimbursement vary from region to region. The Civil Affairs Bureau did not claim reimbursement. The second reimbursement of medical insurance means that after the reimbursement of basic medical insurance, retirees, military disability subsidies and other funds will report part of the amount that needs to be paid by individuals according to the corresponding proportion. In fact, it is the reimbursement of supplementary medical insurance. That is to say, the hospitalization expenses that have been settled in the hospital within one year (including family beds and medical treatment outside the city), the accumulated part of individual out-of-pocket expenses MINUS the part of class C expenses 1 10,000 yuan or more, can enjoy the second subsidy from the medical insurance fund. The second reimbursement applicant needs to bring inpatients, inpatients' cooperative medical certificate, discharge certificate and related materials to the designated medical institutions of basic medical insurance in this city for the second reimbursement. Medical insurance has a second reimbursement, which can be reimbursed in the relevant departments of medical institutions or the local social security bureau. According to China's laws, 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. According to the provisions of Article 28 of the Social Insurance Law of People's Republic of China (PRC), 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. "People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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. Article 32 of the Social Insurance Law of People's Republic of China (PRC), if an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred accordingly, and the payment period will be calculated cumulatively. Thank you for your trust. The above is my reply. I hope I can help you and wish you a happy life.
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