Why can't I use medical insurance when I buy social security?

Hello, according to your question, the answer is as follows:

Ordinary social security cards cannot be reimbursed.

Social security cards cannot be reimbursed, mainly including the following situations:

1. The drugs purchased are not covered by medical insurance reimbursement.

According to Article 28 of the Social Insurance Law, 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.

Medical insurance reimbursement is limited, but not all medicines can be reimbursed.

2. The medical expenses below the deductible cannot be reimbursed.

Outpatient service cannot be reimbursed at will, and medical insurance has a certain deductible line.

The deductible line means that there is a certain threshold for outpatient medical treatment and drug reimbursement. In the annual scope of medical insurance, it takes a certain amount of money for outpatient medical treatment and medicine purchase to enjoy reimbursement.

Different levels of hospitals have set corresponding qifubiaozhun (the standards vary slightly from place to place). During the medical insurance year, the medical expenses below Qifubiaozhun cannot be reimbursed, all of which are paid by individuals and cannot be reimbursed by the medical insurance pooling fund. Only the part that exceeds the minimum payment standard can be reimbursed.

3. There is not enough time for medical compensation.

Urban and rural residents pay insurance premiums annually and enjoy medical insurance benefits in that year. If they don't pay the insurance premium within the specified time, they will not be able to enjoy the medical insurance benefits.

In some areas, employees need to pay the medical insurance fee for three months (or six months) for the first time in order to enjoy the medical insurance treatment normally. Therefore, if it is within this time, it is impossible to reimburse the relevant medical expenses.

4, medical insurance payment, in the state of suspension of insurance can not be reimbursed.

If the medical insurance has been paid off, it is in a state of suspension, and the medical expenses incurred during the suspension period cannot be reimbursed by the fund as a whole.

5. The expenses are not covered by the basic medical insurance fund.

According to the provisions of Article 30 of the Social Insurance Law, the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

According to the relevant laws and regulations of our country, these medical expenses should be borne by the third party. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

6. Medical treatment in different places has not been filed.

Instead of seeking medical treatment at the insured place, I sought medical treatment in a different place. If I don't prepare the medical records in different places in advance, I won't be reimbursed.

7. Failing to seek medical treatment or purchase medicines at designated medical institutions.

Only when you see a doctor and buy medicine in a designated medical institution can you be reimbursed, and you go to a non-designated medical institution. You can't use medical insurance to reimburse, you have to bear it all yourself.

8. The social security card is damaged

It is also common that the social security card is damaged and the data cannot be read.