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Medical insurance card why suddenly can not reimbursement
1. Social security payment is cut off or interrupted;
2. The medical insurance has not been paid for long enough for the medical insurance treatment;
3. The social security card has been demagnetized;
4. The medicines that need to be reimbursed are not in the scope of reimbursement of the medical insurance;
5. The basic medical insurance fund does not pay for the hospitalization of the living services and service facilities costs;
6. The part that needs to be paid from the Workers' Compensation Fund. standard of hospitalization services of the Workmen's Compensation Insurance shall be paid from the Workmen's Compensation Insurance Fund, for which the Basic Medical Insurance Fund shall not pay.
Medicare card money is not all transferred to the social security card, medical insurance contributions include two aspects, on the one hand, the individual part of the contribution, on the other hand, the company part of the contribution. The part paid by the individual is to enter the personal account of the social security card or medical insurance card, and the part funded by the company will be unified into the social medical fund.
Legal basis: Article 30 of the Social Insurance Law of the People's Republic of China
The following medical expenses are not included in the scope of payment of the basic medical insurance fund:
(1) those that should be paid from the Workers' Compensation Insurance Fund;
(2) those that should be borne by a third party;
(3) those that should be paid by the public health insurance fund;
(3) those that should be paid by the public health insurance fund. (iii) Should be borne by the public ****health;
(iv) Medical treatment outside the country.
Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.
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