The reimbursement rate of employees in Shangrao City is 5%; For retirees under the age of 7, the reimbursement rate is 7%; For retirees over 7 years old, the reimbursement rate is 8%. Hospitalization reimbursement is reimbursed according to the amount spent by citizens according to different grades. Social medical insurance card (referred to as medical insurance card or medical insurance card for short) is a special card for personal account of medical insurance. It takes personal identity card as the identification code and stores detailed information such as personal identity card number, name, gender, payment and consumption of account funds. Medical insurance card is generally undertaken by the local designated agent bank, which is a kind of multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank with the personal account payment at the end of the month to allocate it to the personal medical insurance card of the insured employees.
1. The scope of reimbursement and non-reimbursement for medical insurance in Shangrao City:
The scope of reimbursement: insured employees or residents are hospitalized in designated medical institutions (including family beds); The expenses incurred by the insured in designated medical institutions and retail pharmacies < P > can not be reimbursed: medical insurance diagnosis and treatment items, drug lists, medical service facilities and medical expenses beyond the payment standard; Medical expenses incurred in non-designated medical institutions and non-designated retail pharmacies that do not meet the requirements; Medical expenses due to illegal crime, suicide, self-mutilation, alcoholism, etc.; Medical expenses paid by traffic, medical treatment, pharmaceutical accidents and other liability; Medical expenses incurred by employees in work-related injuries (public injuries) and childbirth; Medical expenses incurred in Hongkong, Macau, Taiwan Province and abroad; Other medical expenses that are not paid as stipulated by the state, province and city
2. Precautions related to the use of medical insurance cards:
The Medical Insurance Card should be properly kept, and it should not be bent, folded or scratched, and should not touch magnetic objects (such as televisions, stereos, magnetic buckles, etc.); "Medical Insurance Card" is only for the insured's own use, and shall not be lent, fraudulently used, altered or forged; When the Medical Insurance Card cannot be used due to the equipment failure of the designated medical institutions or pharmacies, the medical expenses shall be paid by personal cash first, and after the failure is eliminated, the original medical institutions or pharmacies with equipment failure shall be re-settled according to regulations; If the insured person terminates the medical insurance relationship due to going abroad (leaving the country) and canceling the household registration, medical relationship transfer out of the city and death, the insured person or his family members shall return the Medical Insurance Card to the city, district and county medical insurance center or service point for cancellation.
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