What is the reason why the social security card cannot be reimbursed?

There is no way to reimburse general outpatient diseases, and generally only hospitalization can be reimbursed. No matter what kind of social security card, clinics and pharmacies can not reimburse, they can only spend the money in their own social security cards, unless they are within the scope of subsidies for chronic diseases (or serious diseases), they can be reimbursed in proportion. However, hospitalization, regardless of serious illness or minor illness, can be reimbursed according to a certain proportion. Personal accounts include all the basic medical insurance premiums paid by employees and part of the basic medical insurance premiums paid by the unit.

The social security card, namely the Social Security Card of the People's Republic of China, refers to an integrated circuit (ic) card that is uniformly planned by Ministry of Human Resources and Social Security and issued to the society by local human resources and social security departments for various business fields of human resources and social security. Social security card holders can use this card to settle personal accounts of medical insurance in real time, handle pension insurance affairs, apply for job registration and unemployment registration.

The state raises basic medical insurance funds through various channels according to law, and gradually improves the mechanism of sustainable financing and adjusting the level of basic medical insurance protection. Citizens have the right and obligation to participate in basic medical insurance according to law. Employers and employees pay basic medical insurance premiums for employees in accordance with state regulations. Urban and rural residents pay the basic medical insurance premiums for urban and rural residents according to regulations.

Social security card reimbursement scope:

I. Outpatient service

1. reimbursement scope

General outpatient and emergency expenses incurred by the insured in designated medical insurance hospitals or specialized hospitals, traditional Chinese medicine hospitals and tertiary hospitals selected by individuals.

2. Outpatient deductible

In a natural year, the general outpatient emergency expenses accumulated more than 1800 yuan.

3. Proportion of reimbursement

1800 yuan part, 70% in hospitals, 90% in communities, with a capping line of 20,000 yuan.

4. Required materials

Original ID card; Original medical diagnosis certificate; Original medical data such as outpatient medical records, examination and test results reports; Original receipt of general outpatient and emergency charges; The original of the detailed list of outpatient expenses or prescription (the prescription is pasted on the back of the receipt by date).

5. Time of submission

Every month is 1- 10, and the expenses of the current month shall be submitted in the following month, and the expenses of the current year shall be submitted before 1 of the following year.

Second, hospitalization.

1. reimbursement scope

Hospitalization expenses incurred by the insured in designated hospitals or specialized hospitals, traditional Chinese medicine hospitals and tertiary hospitals selected by individuals.

2. Inpatient deductible line

Qifubiaozhun is 1300 yuan for the first hospitalization in a natural year, and 650 yuan for each subsequent hospitalization.

3. Proportion of reimbursement

90% of the first-class hospitals, 87% of the second-class hospitals and 85% of the third-class hospitals are reimbursed for hospitalization totaling 300,000 yuan.