Job Recruitment Website - Social security inquiry - How to use social security to go to the hospital?

How to use social security to go to the hospital?

The process of social security going to the hospital is as follows:

First of all, you need to bring a valid social security card and ID card to the hospital before seeing a doctor. After arriving at the hospital, register at the registration office and inform the staff to use social security for reimbursement. The hospital will arrange corresponding examination and treatment according to the condition. After the visit, you need to pay personal expenses at the hospital's toll window. Then the hospital will give me a list of related expenses and invoices for medical expenses. These documents need to be reimbursed to the Social Security Bureau together with the reimbursement application form provided by the hospital. After verifying the medical expenses, the Social Security Bureau will directly return the eligible part to me, or deduct the corresponding expenses from the social security card. Please note that during the reimbursement process, you need to abide by the relevant regulations of the hospital and the Social Security Bureau, and keep all relevant documents and receipts for inspection.

Attention should be paid to the use of medical insurance cards:

1. Cash withdrawal is prohibited.

No unit or individual may violate the scope and requirements of the medical insurance card, and it is strictly forbidden to take cash.

2. Some provincial and municipal medical insurance cards can be used by the whole family.

In some provinces and cities, such as Zhejiang Province and Guangzhou City, the surplus funds of individual medical insurance accounts over the years can be used to pay the medical insurance expenses of employees' spouses, children, parents and other close relatives who participate in basic medical insurance, so as to realize mutual assistance among family members.

3. The following medical insurance will not be paid.

Seeing a doctor in a non-designated medical institution or buying medicine in a non-designated retail pharmacy (except emergency): self-injury caused by personal fighting, drug abuse or other illegal acts; Treatment for alcoholism, suicide and self-mutilation; Injuries caused by traffic accidents, medical accidents or other liability accidents; And the situation that the state or local regulations should be paid by individuals.

To sum up, in the process of reimbursement, we must abide by the relevant regulations of the hospital and the Social Security Bureau and keep all relevant documents and receipts for inspection.

Legal basis:

Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law

Article 8

The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance standards shall be paid by the basic medical insurance fund. For emergency, rescue and other special circumstances, the insured can seek medical treatment in non-agreement medical institutions, and appropriately relax the scope of medication. Specific management measures will be formulated according to local actual conditions. The process of reimbursement for medical treatment by social security includes registration, payment, drawing up a list of expenses and invoices for medical expenses, and submitting an application for reimbursement to the Social Security Bureau. During the whole reimbursement process, please abide by the relevant regulations and keep the documents and receipts properly.