Where can I check the details of medical insurance card consumption?

1. Bring your ID card and social security card to the local social security center or the labor security department for inquiry;

2. Log in to the labor security network or social insurance business website of the city where you are located;

3. Call the labor and social security comprehensive service telephone number 12333 for policy consultation and information inquiry.

1. What is a medical insurance card?

Social medical insurance card (referred to as medical insurance card or medical insurance card) is a special card for personal account of medical insurance. It takes personal ID card as the identification code, and stores detailed information such as personal ID card number, name, gender, payment, account fund consumption, etc. The medical insurance card is generally undertaken by the local designated agent bank, which is a kind of multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.

2. The contents of the inquiry include:

1. Personal account basic information includes retirement status, enrollment method, account status, current account balance, account balance over the years, current treatment status of outpatient and emergency departments, current treatment status of hospitalization, etc.

2. Personal account clearing information includes information such as personal monthly payment amount, personal account injection amount and annual clearing amount in the last medical insurance year.

3. Personal annual cumulative medical expenses information includes personal outpatient emergency, hospitalization, emergency observation room, outpatient serious illness, family sickbed, and cumulative medical expenses information for drug purchase in this medical insurance year.

4. Detailed medical insurance expense information My recent detailed medical insurance expense information at the designated hospital or pharmacy.

3. How to reimburse hospitalization expenses with medical insurance card and how to pay hospitalization expenses with medical insurance card.

If you want to pay the hospitalization expenses with the personal account of the medical insurance card, you should inform the hospital settlement personnel before discharge settlement and go through the normal credit card procedures. For the personal burden in medical insurance, you can use the medical insurance card to pay all (if the balance is enough) or pay part of it. The so-called personal burden part refers to the part below the deductible point (for example, 2000 yuan for a tertiary hospital) and the part of the reimbursement ratio (for example, 20% for a tertiary hospital). Self-funded items cannot be paid by personal account of medical insurance card.

Hospitalization expenses are settled by post-paid service items.

(1) When the insured person leaves the hospital, the medical insurance center can only charge him the following fees: the minimum payment, the bed fee exceeding the prescribed standard, the individual to bear part of the expenses, the use of self-funded items, and the overall fund not to pay the scope fee. The above expenses can be paid by personal account, and the insufficient part can be paid by personal cash. The expenses paid by the overall fund shall be settled by the medical insurance center and the medical insurance department.

(2) The hospital bed fee shall be paid according to the prescribed standard;

(3) in a year, more than two hospitalizations, starting from the second time, the deductible line is 50% of the deductible standard for this year;

(4) When the insured person leaves the hospital, the medical insurance office of the designated medical center will copy all the expenses in triplicate, one for the medical center, the treatment insurance institution and the insured person.

(5) Emergency treatment, there are also specific regulations for people who have settled in other places to see a doctor.

4. Can the medical insurance card be reimbursed?

Once the medical insurance expenses are settled with the social security card in real time, it is equivalent to reimbursement. The medical insurance department will not reimburse you any more. The medical insurance card has been swiped, and the medical insurance can no longer be reimbursed. If the unit can agree to reimbursement, it can be reported.

legal ground

Social Insurance Law of People's Republic of China (PRC) (revised on 20 18).

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.

Social Insurance Law of People's Republic of China (PRC) (revised on 20 18).

Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.