Is Qingdao social security card outpatient service reimbursed?

Is Qingdao social security card outpatient service reimbursed?

Social security cards have a wide range of functions. Cardholders can not only use the card for real-time settlement of medical insurance personal accounts, but also handle endowment insurance affairs; Below, I have compiled the details of medical reimbursement for Qingdao social security card outpatient service, hoping to help you!

1. Is Qingdao Social Security Card reimbursed for outpatient service?

Qingdao social security card clinic can be reimbursed. Insured persons attending outpatient clinics can be reimbursed directly with social security cards when paying fees, or they can bring copies of outpatient medical records, valid bills and other materials to social security institutions for reimbursement after seeing a doctor.

Second, the handling conditions

Medical insurance card holders can reimburse medical expenses.

Third, processing materials.

1, direct reimbursement:

① medical insurance card;

② Medical card.

2. Cash reimbursement:

① Resident ID card;

② Social security card;

③ Copy of outpatient medical records

4 valid bills;

⑤ Detailed list of expenses.

Fourth, the handling process

1, direct reimbursement process

Step 1: After seeing a doctor, you can take the above materials to the window to pay.

Step 2: directly deduct the reimbursement expenses if they meet the reimbursement conditions;

Step 3: Pay the self-funded part.

2. Cash reimbursement process

Step 1: Bring the above materials to the Social Security Bureau for application; (Shinan District, Shibei District and Licang District are insured to the Municipal Social Security Bureau; Insured persons in other districts shall go to local social insurance agencies for handling. )

Step 2: Can the staff reply after accepting it?

Step 3: Issue a qualified business acceptance receipt; Inform the required information and related matters with incomplete information; The basis and reasons for not accepting the unqualified notice;

Step 4: After the agency has reviewed the expenses, it will bring relevant materials to receive the reimbursed medical expenses 30 working days later.

Expansion: the function and reimbursement standard of student social security card

1. What is the function of the student social security card?

The main function of the student social security card is the electronic information card that the medical insurance agency handles medical treatment and medicine purchase for the insured, which is used to verify the identity, record and store the personal account funds and usage. The main functions of student social security card are to see a doctor, buy medicine and submit an expense account.

Second, the student social security card reimbursement standards

(a) in accordance with the provisions of the outpatient medical expenses, according to the following proportion of reimbursement, the rest of the individual pays:

1, if the medical expenses are insufficient 1000 yuan, 35% will be reimbursed.

2, medical expenses in 1000 yuan (including 1000 yuan), less than 5000 yuan, 45% reimbursement.

3. If the medical expenses are more than 5000 yuan (including 5000 yuan), 55% will be reimbursed for the part less than 10000 yuan.

4, medical expenses in 1 ten thousand yuan (including 1 ten thousand yuan) above, reimbursement of 65%.

(two) in accordance with the provisions of the medical expenses incurred in hospitalization, according to the following proportion to be reimbursed, the rest of the individual pays, and the medical expenses of multiple hospitalizations during the year are calculated:

1, medical expenses 10000 yuan, and the reimbursement rates are 55%, 65% and 75% respectively in tertiary, secondary and primary medical institutions.

2. The medical expenses are above 10000 yuan (including 10000 yuan) and within 20000 yuan, and the reimbursement rates in tertiary, secondary and primary medical institutions are 60%, 70% and 80% respectively.

3, medical expenses in more than 20000 yuan (including 20000 yuan), in the tertiary, secondary and primary medical institutions, the reimbursement rate is 65%, 75% and 85% respectively.

Third, primary school students' reimbursement standards

For two consecutive years, the reimbursement rate of medical insurance payers increased by 5%. The reimbursement rate of hospitals at all levels: tertiary hospital 480 yuan, with the reimbursement rate of 65%, secondary hospital 240 yuan, with the reimbursement rate of 70%, and primary hospital 120 yuan, with the reimbursement rate of 80%.

Four, the student social security card application materials

1. Original and photocopy of the insured's ID card (below 16, household registration book is provided without ID card).

2. Digital photo receipt of the insured (not required for those who have applied for social security cards before).

3. The original and photocopy of the guardian's ID card.

4. Original and photocopy of guardianship certificate (birth certificate of the insured or guardianship certificate or household registration book issued by the civil affairs bureau where the insured's household registration is located).

Five, the student social security card processing process

1, cost. The social security card cost (20 yuan/card) is exempted from the first application and replacement of the card, and it is inevitable to reissue the lost card.

2. Processing time. At the end of June every year, from 5438+ 10, due to the differences in the transformation of different banking systems, it is necessary to consult the bank about the specific time for the opening of the financial social security card for young college students.

3. Handling place. Qualified bank window.

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