Legal analysis: The medical insurance card can be used when seeking medical treatment.
First of all, you must show your social security card when registering and pay your own and out-of-pocket expenses in cash, and the hospital will issue a bill for the insured person; secondly, when you go to the clinic to see a doctor, you must proactively show your social security card and Beijing area medical institutions to the doctor.
Outpatient and emergency medical record manual; again, when paying, you must hand the social security card and payment receipt to the settlement staff to pay personal and out-of-pocket expenses; finally, after getting the settlement receipt, carefully check the contents on the receipt
, take back the social security card.
Insured persons who have received a social security card must present their social security card when seeking medical treatment at designated medical institutions that have opened card-based medical settlement services.
If the social security card is not presented, all expenses incurred will be borne by the individual in full, and the medical insurance fund will not be able to pay.
If the insured person seeks medical treatment due to emergencies, family planning surgery, corporate arrears, card replacement period, or card is not issued after joining the insurance, etc., the medical expenses incurred can be reimbursed by the individual cash advance and then to the medical insurance agency according to the original process.
.
Legal basis: "Social Insurance Law of the People's Republic of China" Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.
Pay.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.