1. Choice of medical treatment: When medical treatment is needed, choose medical institutions designated by medical insurance to ensure that medical expenses are within the scope of medical insurance.
2. Settlement of medical treatment: Medical treatment in medical institutions with medical insurance electronic certificate or social security card will be paid by medical insurance pooling funds and individuals in proportion according to the medical insurance policy.
3. Reimbursement application: Apply for online or offline reimbursement according to the local medical insurance policy.
4. Review and reimbursement: The medical insurance department will review the application to verify the rationality of the expenses and the scope of medical insurance policies.
The balance of medical insurance account is as follows:
1, telephone inquiry. Call the unified toll-free number of the local social security center 12333, and then choose self-service inquiry or manual inquiry according to the voice prompts.
2, designated medical institutions and pharmacies credit card query. Swipe your card at a designated medical institution or pharmacy to display the balance of the medical insurance co-ordination account.
3. Inquiries from the Social Security Bureau. Go directly to the local social security bureau and inquire at the window or self-service machine.
4. Website inquiry. You can log in to official website, the local labor and social security bureau, and enter the ID number to check the balance of the medical insurance co-ordination account.
To sum up, the personal account of Baoka is used to record the insured individuals of the basic medical insurance, store the funds in the personal account, and apply it to the personal medical consumption of outpatients and pharmacies.
Legal basis:
Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers
Article 7
The basic medical insurance premium is paid jointly by the employer and the employees. Among them, the employer pays 5%-7% of the total monthly salary of its employees, and the rate of employees paying basic medical insurance premium is not less than 2% of their total monthly salary.