Huang Ka function of medical insurance card

The social security yellow card is planned by People's Republic of China (PRC), and the social security card is planned by Ministry of Human Resources and Social Security. Medical insurance card is a special card for personal account of medical insurance. Social security card is the social security card of medical insurance card. The Social Security Card of the People's Republic of China is an integrated circuit card, which is uniformly planned by Ministry of Human Resources and Social Security and issued to the society by local human resources and social security departments, and used in various business fields of human resources and social security. The medical insurance card is undertaken by the local designated agent bank, which is a 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. Huang Ka Hospital should be a special medical record.

To go to Huang Ka, you can first go to the hospital to see the ward for a certificate, then go to the medical insurance department of the hospital to stamp it, and then bring an inch of photo, ID card and the final discharge certificate to the Social Security Bureau of Hexing South Road. The compensation standard of medical malpractice is clearly stipulated by law, and the amount of compensation can also be calculated. Therefore, patients can't ask for compensation at will, or even exaggerate the amount of compensation, and the compensation party can't make no compensation or less compensation because it doesn't undertake compensation. The degree of responsibility, primary disease, accident level and other factors should be considered in the calculation of medical accident damage compensation. If there is any dispute, both doctors and patients can solve it through consultation; Unwilling to negotiate or if negotiation fails, the parties may apply to the administrative department of health for mediation, or directly bring a civil lawsuit to the people's court.

The compensation standard of medical malpractice is clearly stipulated by law, and the amount of compensation can also be calculated. Therefore, patients can't ask for compensation at will, or even exaggerate the amount of compensation, and the compensation party can't make no compensation or less compensation because it doesn't undertake compensation. The degree of responsibility, primary disease, accident level and other factors should be considered in the calculation of medical accident damage compensation. If there is any dispute, both doctors and patients can solve it through consultation; Unwilling to negotiate or if negotiation fails, the parties may apply to the administrative department of health for mediation, or directly bring a civil lawsuit to the people's court.

Medical reimbursement

(1), outpatient service

(a) the use of medical insurance card to outpatient treatment, real-time settlement, no reimbursement.

(2) Please use Beijing Medical Insurance Manual (medical blueprint) for outpatient treatment without medical insurance card.

1. Reimbursement scope: general outpatient and emergency expenses incurred by the insured in designated hospitals or specialized hospitals, traditional Chinese medicine hospitals and tertiary hospitals selected by individuals.

2. Outpatient deductible line: the total emergency expenses of general outpatient service exceed 1.800 yuan in a natural year.

3. Reimbursement ratio: 70% for the hospital, 90% for the community, and the top line: 20,000 yuan.

4, the required materials:

Original ID card;

Original medical diagnosis certificate;

Original medical data such as outpatient medical records, examination and test results reports;

Original receipt of general outpatient and emergency charges,

The original of the detailed list of outpatient expenses or prescription (the prescription is pasted on the back of the receipt by date).

5. Submission time: every month 1- 10, the expenses of the current month shall be submitted the next month, and the expenses of the current year shall be submitted before 1 the following year.

6. Handling process: If the accumulated Qifubiaozhun exceeds the Qifubiaozhun in a natural year, the unit manager will input all the documents into the enterprise software and report the generated electronic information and statements to the medical insurance center, which will complete the review, settlement and payment of reimbursement expenses within 30 working days.

(2) Hospitalization

1. Reimbursement scope: hospitalization expenses incurred by the insured in designated hospitals or specialized hospitals, Chinese medicine hospitals and 3A hospitals selected by the individual.

2. Inpatient deductible line: The standard of the first hospitalization deductible line in a natural year is 1.300 yuan, with 650 yuan as the unit each time.

3. Reimbursement ratio: 90% in the first-class hospital, 87% in the second-class hospital and 85% in the third-class hospital, with a total reimbursement of 300,000 yuan for hospitalization.