Job Recruitment Website - Social security inquiry - Can the medical insurance card be reimbursed if it has no money to go to the hospital for consumption?
Can the medical insurance card be reimbursed if it has no money to go to the hospital for consumption?
If there is no money in the medical insurance card, the doctor can be reimbursed. The money in the medical insurance card can be used to pay for medicines and medical expenses caused by minor illnesses in outpatient clinics. When the funds in the medical insurance card are used up, the medical expenses incurred during the hospitalization of employees can still be reimbursed through the medical insurance pooling account. Moreover, with the establishment of mutual medical insurance, more and more regions support the use of funds in the medical insurance pooling account to pay for outpatient expenses.
Even if there is no money in the medical insurance card account, employees can still reimburse medical expenses through medical insurance. The related medical expenses incurred by the insured in designated hospitals meet three categories, which are specifically divided into drug list, diagnosis and treatment project list and medical service facilities standard. The insured can show his medical insurance card when settling medical expenses, and the hospital will first reimburse the part through the medical insurance pooling account, and the remaining unpaid part will be borne by the insured himself.
To sum up, for the insured, even if there is no money in the medical insurance card, as long as they are in a normal state of participation, medical expenses can still be reimbursed through the medical insurance pooling account. However, if you go to a pharmacy to buy medicine, you can't pay with a medical insurance card. If it is not urgent, you can wait until the next fund arrives.
Whether there is money on the medical insurance card does not affect your reimbursement ratio and insurance amount.
1. The money on the card belongs to your personal account, which can offset part of your commitment. If there is no money on the card, you only need to pay your share in cash. Medical insurance will still bear the medical insurance part, and the reimbursement ratio is arbitrary, regardless of whether you have money on your card.
2. When you leave the hospital, you only need to pay the expenses that the hospital should bear. Social security reimbursement is settled by hospitals and social security departments.
3, the first hospitalization in the year, according to the provisions, bear the amount. According to local regulations, the deductible line is different. The second hospitalization will reduce the deductible until it is cancelled.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
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