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How to pay with medical insurance in Beijing Children's Hospital
1. First, when the insured sees a doctor, he should register at the registration office with his social security card;
2. The insured person goes to the clinic with the registration form. After seeing the insured, the doctor will write a prescription to pay the fee.
3. After the insured person takes the prescription to the hospital settlement window for pricing, he can directly brush the social security card to pay the medical expenses within the scope of medical insurance fund payment;
4. If some drugs in the prescription are not covered by the medical insurance fund, the insured person needs to pay cash. According to relevant laws and regulations, social medical insurance card, referred to as medical insurance card or medical insurance card, is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, payment, account fund consumption, etc. are stored and recorded. The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank.
At present, there are three main payment methods for children's medical insurance:
1. Pay through the social security payment system in the software. It should be noted that this method is not open to all cities;
2. Bring the social security card to the urban street social insurance service institutions to pay;
3. Take the social security card and cash to the nearest bank for cash payment. When you pay in this way, you should know clearly in advance which banks support payment, so as not to make a trip in vain.
Payment methods for using medical insurance cards in hospitals are as follows:
1. First, when the insured sees a doctor, he should register at the registration office with his social security card;
2. The insured person goes to the clinic with the registration form. After seeing the insured, the doctor will write a prescription to pay the fee.
3. After the insured person takes the prescription to the hospital settlement window for pricing, he can directly brush the social security card to pay the medical expenses within the scope of medical insurance fund payment;
4. If some drugs in the prescription are not covered by the medical insurance fund, the insured person needs to pay cash. According to relevant laws and regulations, social medical insurance card, referred to as medical insurance card or medical insurance card, is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, payment, account fund consumption, etc. are stored and recorded. The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank.
Medical insurance card reimbursement. After holding a card for medical treatment, the patient only bears the medical expenses that the individual should bear, and the expenses that should be reimbursed are directly settled by medical institutions and medical insurance departments. Cardholders encounter four special situations and need to pay medical expenses in full in cash before reimbursement: First, they don't bring social security cards in the emergency department; Second, family planning surgery; Third, enterprises owe medical insurance premiums; Fourth, during the replacement of social security cards.
To sum up: the medical insurance fund can't pay. If the insured person goes to the hospital for emergency treatment, family planning surgery, enterprise arrears, replacement of cards, failure to issue cards after enrollment, etc. The medical expenses incurred can be paid in cash by the individual first and then reimbursed by the medical insurance agency according to the original process.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
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