the money in the medical insurance card can be used in different places, but only if the application is filed and the filing is successful can it be used directly in different places, otherwise it can't be used directly in different places, and the medical insurance card can't be used in pharmacies in different places, but the money in the medical insurance card can be used in hospitals (doctors) in different places after filing.
the new medical insurance policy stipulates that medical insurance can be used nationwide, and the process of cross-provincial medical treatment settlement is three sentences: filing first, selecting points, and holding a card for medical treatment.
1. Cross-provincial direct settlement process of medical insurance:
1. For the record, before the insured goes for medical treatment in different provinces and places, they can go through online and offline procedures such as the national medical insurance service platform APP, the national remote medical treatment filing applet, the the State Council client applet or the window of the agency in the insured place;
2 at the selected point, after the insured completes the medical record in different places, all the inter-provincial networked designated medical institutions opened at the record place can enjoy the inter-provincial direct settlement service of hospitalization expenses;
3 When holding a code card for medical treatment, the insured must show valid certificates such as medical insurance electronic certificate or social security card at the time of admission registration, discharge settlement and outpatient settlement, for diagnosis and treatment and direct settlement of medical expenses.
The money in the medical insurance card belongs to the insured, while the money in the overall account is collective and used to pay the reimbursement expenses. The money in the medical insurance card will not be cleared, so don't worry, even if the cardholder dies, the money in his medical insurance card can be inherited.
second, how to use the resident medical insurance card?
1. swipe your card in the general outpatient department. When the insured purchases medicines in designated hospitals and pharmacies, they can swipe their card on the POS machine with their passwords, but they can't withdraw cash or transfer money. Urban residents' medical insurance cards can be used to buy medicines at designated pharmacies at ordinary times, and whether it is possible to pay for some medicines at pharmacies by medical cards.
2. swipe your card when you are in hospital. When you enter the designated medical institution, you must show your medical insurance card and your ID card (household registration book), and you will be reimbursed on the spot according to the policy proportion when you check out.
It should be reminded that people who participate in medical insurance should go to the local designated hospitals for medical insurance, and not all hospitals can use the urban residents' medical insurance card.
if the medical insurance card is lost, you need to report the loss to the card issuing institution of urban residents' medical insurance card, and apply for a replacement card with your ID card, photos and other related information.
III. Functions of urban residents' medical insurance card
1. Information recording function: The urban residents' medical insurance card is a special card for each urban residents' medical insurance card participant, with the personal ID number as the unique number and identification code. The information recorded in the medical insurance card mainly includes personal basic information, medical insurance reimbursement information and medical expenses consumption information. Among them, personal basic information mainly includes name, ID number, gender, etc. Medical insurance reimbursement information refers to the reimbursement of medical insurance; Medical expenses information refers to the records of consumption details and account balance.
2. Consumption credit card function: urban residents' medical insurance participants can pay by credit card at designated outpatient or hospital with their urban residents' medical insurance card.
3. amount inquiry function: urban residents' medical insurance participants can inquire about the consumption and balance of their accounts, and whether the reimbursement of medical expenses has arrived.
medical insurance card is a special card for personal account of medical insurance. It takes personal ID card as the identification code, and stores detailed information such as personal ID card number, name, gender, payment and consumption of account funds. The medical insurance card is undertaken by a local designated agent bank, and it is a kind of multi-functional debit card of the bank. After the insured unit pays the fee, the medical insurance office (hereinafter referred to as the medical insurance office) will entrust the bank to allocate the personal account funds to the personal medical insurance card of the insured employees at the end of the month.
1. Generally, it cannot be used across regions;
2. Under special circumstances, emergency hospitalization expenses incurred in different places due to business trips, family visits, vacations, etc. shall be reimbursed according to the specific provisions of the medical insurance measures of the insured place. Generally, in the case of emergency, the nearest diagnosis and treatment is allowed. After treatment, with the valid certificate issued by the treatment hospital, the local medical insurance agency will be reimbursed according to the regulations.
3. In addition, if you have retired and your children have settled in Beijing, you should go back to the medical insurance center in the insured area to apply for the retirees' resettlement in different places. After you have done it well, you can choose one or two designated hospitals in XX, and pay the expenses yourself first, and then go back to the medical insurance center in the insured area for reimbursement.
4. For long-term overseas employees, they can also apply for medical insurance resettlement in different places, which will be applied by the unit. After doing well, they can choose one or two designated hospitals in XX, and the expenses will be paid in advance by themselves, and then they will be reimbursed by the medical insurance center in the insured area.
when the insured employees buy medicines in designated hospitals and pharmacies, they can use their passwords to swipe their cards on POS machines, but they cannot withdraw cash or transfer money. That is, the scope of use of urban medical insurance cards is equally applicable to the scope of use of rural medical insurance cards.
1. Designated pharmacies
Medical insurance consists of two accounts: individual account and overall account. The individual account can be used to buy medicines in designated pharmacies, and it is mainly responsible for the payment of outpatient expenses and hospitalization expenses for the individual. The overall account managed by the medical insurance center pays the expenses incurred by the insured who meet the local medical insurance reimbursement.
2. Designated hospitals
Legal basis:
Article 64 Social insurance funds include basic old-age insurance funds, basic medical insurance funds, industrial injury insurance funds, unemployment insurance funds and maternity insurance funds. In addition to the basic medical insurance fund and maternity insurance fund combined to establish accounts and accounting, other social insurance funds are established separately according to social insurance types and accounted for separately. Social insurance funds implement a unified national accounting system.
Social insurance funds are earmarked for special purposes, and no organization or individual may occupy or misappropriate them.
The basic old-age insurance fund will gradually be co-ordinated nationwide, and other social insurance funds will gradually be co-ordinated at the provincial level. The specific time and steps will be stipulated by the State Council.