Legal subjectivity:
What is the process of using the medical insurance card | How to use the medical insurance card in designated hospitals (1) Show the medical insurance card to prove the insured identity and registration when seeing a doctor in a designated hospital. Individuals can directly settle the medical insurance reimbursement by the medical insurance and the hospital without paying first, and only when the account is settled, the self-paid part will be paid by themselves with the balance of the medical insurance card or cash. (2) When reimbursement is made for hospitalization, there is a deductible line (the deductible standard is generally 1% of the average annual salary of employees in the city last year), that is to say, the deductible line needs to be paid by itself, and the part that exceeds the deductible line can be reimbursed according to the provisions of local medical insurance. The reimbursement ratio is different from place to place, and different hospitals and different projects are also different, about 8%. For details, you can go to the local labor security online. If a patient with a medical insurance card wants to go to the hospital after getting sick, the process of going to the designated medical insurance unit with a medical insurance card is as follows: When the insured is sick, he can go directly to the local designated medical institution with a medical insurance manual and IC card. The general procedure is as follows: holding the medical insurance manual and IC card-registering with the hospital medical insurance office-examining and verifying the card-paying the hospitalization deposit-staying in the hospital-the patient's consent and signature are required for the self-funded items-cash or IC card is used to settle the Qifubiaozhun and the self-paid part of the self-paid proportion-the hospital will advance the expenses within the overall planning scope-and settle the discharge. The settlement of hospitalization expenses adopts the post-payment service project settlement method. Legal objectivity:
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 and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.
Social Insurance Law
Article 29
The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places, so as to facilitate the insured to enjoy the basic medical insurance benefits.