Second, if you are blacklisted, you can bring your social security card, ID card, medical record, medical fee receipt and other materials to the Medical Inspection Department of the Municipal Social Security Center to explain the situation within 5 working days.
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First, social security cards have a wide range of functions. Cardholders can not only use the card for real-time settlement of medical insurance personal accounts, but also handle endowment insurance affairs; Go through the formalities of job registration and unemployment registration; Apply for unemployment insurance; Apply for employment training; Apply for labor ability appraisal and enjoy work-related injury insurance benefits; Handling labor and social security affairs online.
Second, Suzhou social security card reimbursement scope
The insured minor residents (including all kinds of students) who meet the requirements of outpatient medical expenses due to accidental injuries, exceeding the part above 60 yuan, shall be paid by the overall fund for 90%, and the maximum payment limit in a medical insurance year is 3000 yuan. Only one outpatient out-of-pocket payment is paid in a medical year.
1. General outpatient medical expenses (excluding outpatient medical expenses for specific projects) that meet the payment conditions of Suzhou medical insurance shall be paid from the personal account first. After the personal account is used up, in each settlement year (from April to March of the following year), the local supplementary medical insurance co-ordination fund will pay the employees (including flexible employment insured and "Xiebao" personnel) in proportion within the limit of 2,500 yuan (excluding the above-mentioned conceited amount).
Among them, the outpatient expenses incurred by designated community health service stations (centers), outpatient departments (institutes), unit hospitals and township hospitals using social insurance cards are paid according to the standard of 70% of employees and 80% of retirees; Outpatient expenses incurred in other designated medical institutions and retail pharmacies in urban areas shall be settled according to the standard of 60% of employees and 70% of retirees.
2. Every time the insured person of Suzhou medical insurance is hospitalized, the medical expenses within the Qifubiaozhun shall be borne by the individual, and can also be offset by the balance of the personal account of the previous year.
(1) The Qifubiaozhun for the first hospitalization of Suzhou medical insurance participants in the settlement year (April of that year to March of the following year) is determined according to different levels of hospitals, namely hospitals above the municipal level: employees (including flexible employment participants and "cooperative participants", the same below) 800 yuan and retirees 700 yuan; District (county) level hospitals and specialized hospitals: 600 yuan, an on-the-job employee, and 500 yuan, a retiree; Grassroots hospitals such as villages and towns: workers and retirees are from 400 yuan.
(2) The Qifubiaozhun for the second hospitalization in that year is 50% of the Qifubiaozhun for the first time; Qifubiaozhun for the third and above hospitalization is unified as 200 yuan.
(3) If the patient has been hospitalized continuously for more than 180 days, the hospitalization settlement shall be made once every 180 days, and the part exceeding 180 days shall be treated as re-hospitalization.
(4) Where the insured persons with mental illness who are hospitalized in Guangji Hospital, Psychiatric Rehabilitation Hospital, Ankang Hospital in High-tech Zone and Taicang Ankang Hospital in this city meet the requirements of medical insurance settlement and payment, there is no minimum threshold for hospitalization expenses, and they will be settled directly by hospitalization settlement and installment payment.
5] If you need to be transferred to the city for continuous hospitalization due to illness, you can go to the municipal social security center with the settlement voucher and invoice after discharge according to the Qifubiaozhun of high-grade hospitals.