2. Operation error (such as medical expense reimbursement information input error).
3. Equipment problems (such as degaussing medical insurance card, short circuit of card reader, etc.). ).
The reasons why the medical record in different places is successful and the medical insurance card cannot be swiped may be:
1, medical insurance has been paid off, and the balance of personal account has been used up (medical insurance is paid by the employer and employees * * *, and flexible employees can pay it themselves. The next month after medical insurance is paid off, you can't enjoy medical insurance benefits, but you can use the balance in your personal account).
2. Operation error (such as medical expense reimbursement information input error).
3. Equipment problems (such as degaussing medical insurance card, short circuit of card reader, etc.). ).
4. Non-designated institutions (the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units).
5, does not belong to the scope of medical insurance reimbursement of medical expenses (in line with the basic medical insurance drug list, diagnosis and treatment projects, medical service facilities standards and emergency, rescue medical expenses, paid by the medical insurance fund).
6, not included in the basic medical insurance fund payment range (should be paid from the industrial injury insurance fund; Should be borne by a third party; Should be borne by public health; Go abroad for medical treatment).
7. others.
What items does medical insurance reimbursement include?
The classification of medical insurance reimbursement and the items included are as follows:
1, general medical insurance. It mainly includes outpatient expenses, medical expenses and inspection expenses.
2. Hospitalization insurance. Mainly the daily hospitalization expenses, hospital equipment use expenses, operation expenses, medical expenses and so on.
3. Surgery insurance. Provide all expenses incurred due to the patient's need for necessary surgery.
4. Comprehensive medical insurance. Its cost range includes all expenses such as medical treatment, hospitalization and surgery.
5. Special disease insurance. Some special diseases often bring disastrous expenses to patients, which ordinary families can't bear. Such as cancer and heart disease. The major diseases that provide protection for the insured can be single diseases, such as malignant tumors, or even some cancers in malignant tumors.
I hope the above content can help you. Please consult a professional lawyer if you have any other questions.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29 of People's Republic of China (PRC) Social Insurance Law
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 30 of People's Republic of China (PRC) Social Insurance Law
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.