Job Recruitment Website - Social security inquiry - Can Chinese medicine brush the medical insurance card?
Can Chinese medicine brush the medical insurance card?
Yes, the medical insurance card can only be reimbursed if you buy medicine at a designated pharmacy. Employees' medical insurance cards can brush medicines in the medical insurance catalogue. 90% of Chinese medicines are Class A medicines for medical insurance, and only a few animals and rare Chinese medicines cannot be reimbursed. First of all, the difference between medical insurance drugs and non-medical insurance drugs, reimbursement deductible line is also different according to hospital level. Generally, Class A drugs can enjoy full coverage, while Class C needs all out-of-pocket expenses, with Class B reporting 80% and paying 20%.
Reimbursement for medical insurance without medical insurance card: 1, failing to go to the designated institution for medical treatment, drug purchase, hospitalization and transfer according to the disease catalogue and prescribed procedures; 2. Responsibility belonging to other responsible persons; 3. Work-related accidents and maternity leave for female employees; Accidental injury caused by various reasons such as my crime, drunkenness, self-injury and self-injury; 4. Illegally altering prescriptions, falsely making out or overpaying medical expense documents, and falsely making out overall funds; 5. Other responsibilities that do not belong to the medical insurance commitment.
Legal basis:
"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Derivative problem:
How to reimburse medical insurance?
1. The agent submits the reimbursement documents and other materials to the social security agency for acceptance; 2. After receiving the application materials, the accepting department shall review, settle accounts and pay; 3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form". To enjoy the basic medical insurance for urban residents, the insured must see a doctor in a designated medical institution, and the proportion of reimbursement for medical expenses varies according to the number of units in the hospital, whether the insured is on-the-job or retired, and the amount of insurance. Residents' medical insurance only reimburses hospitalization expenses, and outpatient expenses cannot be reimbursed.
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