1. The amount of medical insurance paid by individuals will enter the personal account of the medical insurance card every month. Among them, the personal contribution of medical insurance is about 2%. According to the payment base, the individual pays to the medical insurance card every month, and the company pays 0.5% to the account;

As for the date of receipt, it is 2 to 3 days after payment. Companies usually pay social security from the 24th to 25th of each month, so the payment date of individual medical insurance accounts should be the end of each month. Allocate 12 times a year. Under normal circumstances, the balance of the personal account of the medical insurance card can be used for drug purchase and outpatient treatment in the designated pharmacies of medical insurance.

Processing flow of medical reimbursement:

1, medical insurance, whether for urban workers or urban residents, must be hospitalized in accordance with the local designated medical institutions approved by the local medical insurance institutions;

2. If you need to go to other medical institutions for treatment, you need to issue a referral certificate to the local community hospital or community health service center or designated medical institutions;

3. If you are hospitalized in a local medical insurance designated medical institution, the hospital will automatically deduct the medical insurance reimbursement when you check out;

4. In the local medical insurance designated places for treatment but not hospitalization, or receiving radiotherapy and chemotherapy treatment, but not reimbursed in the hospital, you can bring the relevant information issued by the hospital to the medical insurance window of the local administrative service center for reimbursement. Details are as follows:

(1) official invoice;

(2) medical diagnosis;

(3) A detailed list of drugs;

(4) Social security card or medical card.

5. If you have been treated in other medical institutions and have a referral certificate, you must reimburse all treatment invoices, hospital diagnosis certificates, hospitalization certificates, ID cards, social security cards, medication lists and medical records before 65438+February 3/0/every year after discharge.

To sum up, the benefits of fund payment are that it can improve the medical service experience of the insured, reduce their economic burden, shorten the medical insurance reimbursement cycle and increase the liquidity of the hospital.

Legal basis:

Article 28 of People's Republic of China (PRC) 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.

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.