Job Recruitment Website - Social security inquiry - Can children use the medical insurance card to see the clinic?
Can children use the medical insurance card to see the clinic?
Social security clinics do not report. Outpatients can choose to swipe the medical insurance card, but not reimburse it, but deduct it from the money in the medical insurance card. The purpose of labor security system is to protect the legitimate rights and interests of workers, which is different from other legal systems to adjust labor relations.
Children's medical insurance clinic can be reimbursed:
1. Go to a tertiary specialized hospital, such as the Municipal Children's Hospital. You don't have to choose a hospital in advance, you can directly charge your card for reimbursement.
2. You can go to the emergency department, intestinal clinic and fever clinic of other tertiary hospitals for medical treatment. You don't need to choose a hospital in advance, and you can directly charge your card for reimbursement.
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
1, which shall be paid from the industrial injury insurance fund.
2. It shall be borne by a third party.
3, should be borne by public health.
4. Go abroad for medical treatment.
To sum up, adult medical insurance cards can also be used to treat children. Adults' medical insurance cards can be used by children, and they can directly bind their medical insurance to their children's identity. After the binding is successful, their family members can use the balance in their personal medical insurance accounts, and other immediate family members can also bind. Medical insurance can bind three family members. However, if it is a newborn child who is not registered, Ma Bao needs to bring the baby's medical birth certificate and his or her valid ID card to the local social security community to apply for the baby's medical insurance card.
Legal basis:
Article 26 of People's Republic of China (PRC) Social Insurance Law
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and 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.
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- Medical insurance bureau, Yuhong District, Shenyang Telephone