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How to check the reimbursement progress of medical insurance

open a browser, enter National Health Insurance Bureau and click Enter. Click on the query column of policies and regulations. Enter the "Notice of the Ministry of Human Resources and Social Security of the National Medical Insurance Bureau on the inclusion of the drugs negotiated in 219 in the Category B scope of the National Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Drug List" page, where you can inquire about the related reimbursable consumables, drugs and surgical items.

1. Notes on social medical insurance:

1. It is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs protection for workers within the scope of protection.

2. Composition of social overall medical insurance: the payment base is m: wage income of employees+allowance. The unit pays 8% m every year; Individual employees pay 2% m every year;

3. The unit pays 8% m: 6.6% m to 7%M into the overall account (1%M to 1.4%M into the personal account)-hospitalization expenses;

4. 2%M:2%M of the salary paid by the individual goes into the personal account (plus 1%M to 1.4% m paid by the unit)-outpatient expenses.

5. Note: The hospitalization expenses are reimbursed from the overall account, and the amount is the same for everyone; Outpatient expenses are deducted from personal account (i.e. medical insurance card), which is different for each person.

2. how to check the progress of medical insurance reimbursement? How to check whether the medical insurance reimbursement status is normal?

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first, go directly to the inpatient window of the hospital, and when you register for hospitalization, he will tell you whether you can reimburse normally.

Second, the inquiry of social security medical insurance window or social security self-service teller machine will also reveal the current medical insurance payment status.

Third, you can also find out through the local social security website.

fourthly, it is also possible to inquire through our telephone number 12333.

However, the third and fourth methods all need to search the password online, which needs to be reset by the labor department.

III. Legal basis for medical insurance reimbursement:

The basic medical insurance system in China implements the mode of combining social pooling with individual accounts. The basic medical insurance fund shall, in principle, be co-ordinated at the municipal level. The basic medical insurance covers all employers and their employees in cities and towns; All enterprises, state administrative organs, institutions and other units and their employees must fulfill the obligation to pay the basic medical insurance premium. At present, the employer's contribution ratio is about 6% of the total salary, and the individual contribution ratio is 2% of my salary. Part of the basic medical insurance premium paid by the unit is used to establish the overall fund, and part of it is included in the personal account; The basic medical insurance premiums paid by individuals are included in personal accounts. Pooling funds and individual accounts bear different responsibilities for payment of medical expenses. The overall fund is mainly used to pay for hospitalization and outpatient treatment of some chronic diseases, and the overall fund has Qifubiaozhun and maximum payment limit; Personal accounts are mainly used to pay for general outpatient expenses.

Among them, it should be noted that the drugs reimbursed by medical insurance are specific, and only the drugs in the medical insurance catalogue can be reimbursed, but the drugs outside the medical insurance catalogue cannot be reimbursed, such as many expensive imported innovative drugs and patented drugs.