Why the balance of social security payments is 0? The reason may be that the urban and rural residents' medical insurance payment has been paid, or the storage amount in the personal account has been used up, or the medical insurance amount in the personal account has not been transferred, etc.
Categories of medical insurance reimbursement and supporting materials: 1. Transfer to other places for medical treatment: the reporting procedures for transfer to other places for medical treatment are required. If the condition is urgent, the procedures should be completed within 7 days of transfer to the hospital; 2. Resettlement and work in other places: living and working in other places are required for half a year.
Above, and registration procedures must be completed in advance; 3. Medical expenses during short-term outings such as business trips, family visits, and tourism: ① Acute diseases: when reimbursing, provide business trip certificates, family visit certificates, travel contracts, real-name air tickets, etc.; ② Outpatient services for chronic diseases
Maintenance treatment: increase the medical records that provide Xiamen outpatient treatment, and the diagnosis and treatment measures during the outing period cannot exceed the original diagnosis and treatment measures in Xiamen; 4. Delivery in other places: hospital delivery expenses and reasonable prenatal and postpartum examination expenses; 5. Failure of the social security system in local and integrated areas
If the card payment cannot be made in real time: the invoice must be endorsed and stamped by the charging office of the medical institution; 6. The social security card is reported lost or damaged, or the card issuance is delayed: the Social Security Card Management Department stamps the back of the invoice for confirmation; 7. The number of outpatient visits in a single month exceeds 20 times
: Charge bills must be settled by card and show the number of registrations, and outpatient records must be provided; 8. Acute illness or rescue without a social security card: outpatient or inpatient medical records should be recorded in detail and clear enough to be identified as acute illness or rescue; 9. Directory of retired cadres
Expenses for foreign drugs: "Approval form for drugs outside the catalog of retired cadres" must be provided and stamped with the official seal of the hospital's medical insurance management department; health care recipients of retired cadres under the care of the provincial two-fee center must provide health care certificates; 10. Insured status, change, replacement of insured
Units and local tax data are delayed in arriving: reimbursement can be applied after completing the change procedures with the local tax and confirming the arrival in the middle of the next month; 11. Medical expenses for newborns from birth: insurance coverage and payment should be made in time within three months after birth.
Reimbursement can only be processed after the account is received.
A birth certificate must be provided; for newborns who are not named when expenses are incurred, the name on medical expense invoices, summary lists, discharge records and other reimbursement documents shall be the mother's or father's name followed by "son" or "daughter".
To sum up, the personal account of the social security card is actually the personal account of the medical insurance card. Even if the balance in the personal account is 0, it will not affect the reimbursement.
Because the reimbursement involves funds in the overall account, even if there is not a penny in the medical insurance card, as long as our medical insurance is in normal payment status, we can enjoy medical reimbursement.
Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.
Pay.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.