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Individuals have already bought commercial insurance, do they still need to buy social security?

Commercial insurance and social security are complementary. To buy social insurance, you must buy commercial insurance. For a detailed analysis of their relationship, please see how to use social security and medical insurance in this article. 1. Teach you how to apply for reimbursement!

As we all know, social security is our most basic guarantee, and the content of five insurance covers all aspects of our lives. Take the medical insurance in the five risks as an example. Even if you are sick now, you can continue to apply for insurance in the second year, you can reimburse related medical expenses, and you can enjoy lifelong medical insurance after paying 15 years. But this does not mean that social security is enough, and its protection is still not enough. Commercial insurance is needed to supplement it. See below for details.

There are many differences between social insurance and commercial insurance. Let's take medical insurance as an example to briefly explain why commercial insurance can't replace social insurance.

1. The coverage of commercial medical insurance is not exactly the same as that of social medical insurance.

The content of commercial medical insurance is more sufficient, covering many things that social medical insurance does not cover. For example, the coverage of social medical insurance does not include the examination and treatment items using large medical equipment such as electron beam CT and ophthalmic excimer laser therapeutic apparatus, while the coverage of commercial medical insurance can include the expenses incurred by using these large medical equipment for examination and treatment.

As shown in the figure below, the types of drugs that can be reimbursed by social security are also very limited. For example, pharmacologists have developed many cancer-specific drugs with relatively small side effects and high curative effects, but the prices of these drugs are relatively high. For example, Kelida, which treats lung cancer, costs more than 50,000 yuan per month. Unfortunately, this specific drug is not a social security drug and cannot be reimbursed. The family income of many cancer patients is not enough to pay such a high drug fee.

2. The reimbursement amount is different.

Social medical insurance with national welfare is not as high as commercial insurance because it has to take care of the citizens participating in the insurance nationwide. For off-site treatment, even if it can be reimbursed, the reimbursement ratio will be discounted again, and the reimbursement ratio of commercial medical insurance will usually not change because of off-site treatment. There is some overlap between commercial medical insurance and social medical insurance, but due to the low reimbursement rate of social medical insurance, commercial medical insurance is needed as a supplement to get a higher level of protection. As shown in the figure, more than half of the medical expenses and less than 50% of the social security reimbursement.

If you want to know more about commercial insurance and social insurance, please read this article.