Job Recruitment Website - Social security inquiry - Can I pay by medical insurance card for online appointment registration?
Can I pay by medical insurance card for online appointment registration?
If you pay medical insurance, even at your own expense, it can also be used for reimbursement. General outpatient medical insurance cannot be reimbursed, but the medical insurance card can be paid with the balance in the personal account. If it is a self-funded special clinic or self-funded hospitalization, there are usually the following situations:
Case 1: I forgot to bring my social security card or medical insurance card when I was hospitalized. I can supplement the relevant documents later and then go to the relevant community or medical insurance for reimbursement.
Case 2: Referral and transfer settlement: After the medical treatment, the insured or other agents submit the approval form for referral and transfer, medical records, prescriptions and valid documents to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of the overall fund payment.
Case 3: If there is no certificate at the time of hospitalization, resulting in temporary hospitalization at one's own expense, the follow-up certificate can be converted into medical insurance hospitalization reimbursement;
Case 4: Temporary hospitalization at one's own expense due to medical insurance card arrears. After the expenses are paid, the insured's medical insurance certificate, medical record, receipt of medical expenses, detailed list of hospitalization expenses, treatment prescription and other related materials shall be provided. Then go to the hospital medical insurance settlement window for reimbursement. As for how to reimburse, there are two main situations: one is to reimburse by bill; Second, the hospital directly settled with social security. It should be noted that if there is a time limit, it needs to be handled as soon as possible. Before reimbursement, you can tell the hospital that I have a medical insurance card.
Medical insurance registration, medical insurance bureau will bear part of the costs. Self-funded registration is full registration fee. If you are in a tertiary hospital, medical insurance bureau will bear 55% registration fee, 65% registration fee for a secondary hospital, 75% registration fee for a community hospital and 80% registration fee for a community hospital. Although it is only a little, it must be complete at your own expense.
1. If you register with medical insurance, the doctor must use a prescription form dedicated to medical insurance, and fill in the unit and medical insurance card number in detail. If it is at their own expense, the doctor will write much less.
2. Patients who may use medical insurance during hospitalization are managed separately from patients at their own expense. Because it is convenient for spot checks, medical insurance patients write hospitalization days and medical records.
This is related to the medical insurance system in our country. If you use medical insurance, the state will reimburse a considerable part of medical expenses, but if you pay for it at your own expense, you will have to bear 100% of the expenses.
I hope the above content can help you. Please consult a professional lawyer if you have any other questions.
Legal basis: Article 23 of the Social Insurance Law of People's Republic of China (PRC), employees shall participate in the basic medical insurance for employees, and both employers and employees shall pay the basic medical insurance premium according to the provisions of the state.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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.
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