1, social security center query

If you don't know your social security account number, you can bring your ID card to the business hall of social insurance agencies in various districts to inquire.

2. Online inspection

Log in to the city's labor security network or social insurance business website, click the "Personal Social Security Information Inquiry" window, and enter my ID card and password (the password is your social security number or the date of birth of your ID card) to inquire about my insurance information.

3. Telephone consultation

Call the labor security comprehensive service telephone number "2333" for policy consultation and information inquiry.

4. Touch screen query

If there is a social insurance touch screen inquiry system in the business hall of social insurance agencies in each district, swipe your card or enter the card number or ID number according to the screen prompts for inquiry.

Payment standard of medical insurance

1, 80,000 yuan personal accident insurance, and the proportion of compensation in China is 100%. The medical insurance is 25,000 yuan, the proportion of outpatient medical compensation is 90%, and the compensation amount per person per day does not exceed 150 yuan; Hospitalization does not exceed 1 1,000 yuan, and the compensation ratio is 1 1,000%; The hospitalization expenses 1 10,000 to 25,000 yuan, and the compensation ratio is 90%.

2, the insured in the designated outpatient treatment, by myself.

If it is settled in full, the insurer shall review the compensation according to the regulations, but shall provide the original prescription and the receipt of the drug fee.

3. The insured shall be treated at public expense by the health department and the social labor insurance company regardless of outpatient service or hospitalization.

Standard Huai medicine.

4. The insured applies to the insurance company for compensation for medical expenses.

The following documents should be provided: original outpatient medical records and prescriptions.

Attached, copy of hospital medical records (including home page, records, discharge summary, length of doctor's advice), and original receipt of medical expenses.

5. When the insured applies for compensation for outpatient medical expenses, he shall make a claim according to the date of outpatient service, and make a claim this time.

The date of medical bill must be later than the date of the last claim, otherwise, the insurer has the right to refuse compensation. If the insured

Fraud, depending on the seriousness of the case, the insurer may refuse to pay part or all of the medical expenses.

6. When the insured applies for compensation for medical expenses in Jiayuan, the insurer provides services according to the following provisions, and sends people to the contact person designated by the insured to receive the compensation application materials on the agreed date every month, and the insurance premium is settled once a year.

legal ground

Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law

Article 8 The medical expenses incurred by the insured in the agreed medical institutions shall be paid by the basic medical insurance fund in accordance with the provisions of the state if they meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.