Is the social security card directly reimbursed for medical treatment?

Social security card is directly reimbursed for medical treatment.

When using the social security card to see a doctor, the insured person goes to the designated hospital for medical treatment, and can confirm his identity and registration by presenting the social security card, without having to pay in advance before reimbursement. Part of the medical expenses within the scope of medical insurance will be paid directly to the hospital by the medical insurance fund, and the insured only need to pay their own expenses at the time of checkout, which can be settled by the balance of social security card or cash. The funds in the social security card will be injected every year according to the amount of payment, usually around 500 yuan. When the balance in the card is exhausted, the insured person enters the self-payment part, and the medical expenses at this time need to be paid by himself. The use of social security cards follows the relevant provisions of the Social Insurance Law of People's Republic of China (PRC) to ensure that medical expenses are paid reasonably within the legal scope.

Rules for the use of social security cards:

1. Basic functions of social security card: used for personal social security business inquiry, medical expenses settlement, social security payment collection, etc.

2. Payment of medical expenses: you can directly swipe the social security card at the designated medical institution to pay the personal part of medical expenses;

3. Reimbursement process: instant settlement can be realized in some areas, that is, the patient only needs to pay the personal burden, and the rest is paid directly to the hospital by the social security fund;

4. Restrictions on designated medical institutions: Social security cards can usually only be used in designated medical institutions in insured areas;

5. Information update: Social security cards need to update personal information on social security self-service terminals or online service platforms regularly.

To sum up, using social security card to see a doctor saves the process of paying first and then reimbursing. When the insured person goes to a designated hospital for medical treatment, the medical expenses medical insurance fund directly pays the medical insurance part, and the individual only needs to pay for it. The funds in the social security card will be injected to a certain extent every year, and he will have to pay it after it is used up to ensure the reasonable payment of the expenses under the Social Insurance Law of People's Republic of China (PRC).

Legal basis:

People's Republic of China (PRC) social insurance law

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.