Job Recruitment Website - Social security inquiry - What is the difference between Medicare Part C and self-pay?
What is the difference between Medicare Part C and self-pay?
1, the difference between medical insurance category C and self-payment is as follows:
(1) medical insurance category C drugs or treatment of the current equipment and other costs are generally paid by the individual, the state reimbursement ratio is very small;
(2) self-payment is the drugs or medical equipment are paid by the individual, the state will not be reimbursed.
2, the legal basis: "the Chinese people *** and the State Social Insurance Law" Article 28
In line with the basic medical insurance drug catalog, diagnostic and treatment items, medical services and facilities standards, as well as emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.
Article 29
The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
Social security card contains what items
Social security card contains the following items:
1, the basic pension insurance; in order to have a sense of old age, the workers can receive a pension when they reach the legal retirement age;
2, the basic medical insurance; sick as a medical reimbursement;
3, the workplace injury insurance; is the worker injured at work, to pay the medical expenses or compensation related to work-related injuries.
4. Unemployment insurance; is the employee is unemployed, receive living expenses;
5. Maternity insurance; is the employee maternity as maternity reimbursement and related treatment.
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