Method 2: Take my medical insurance card and ID card to the local social security center to print the consumption records;
Method 3: After opening the social security card bound by Alipay or WeChat-City Service-Social Security, you can query the consumption details of the medical insurance card; Method 4: Call the national social security unified hotline 12333 to inquire about individual payment and consumption records.
The medical insurance card is reimbursed according to the medical expenses. The money transferred to the medical insurance card every month is the personal account in the medical insurance. For example, the medical expenses are 4000 yuan, which can be settled by personal account after deducting medical insurance reimbursement. If the personal account balance is insufficient, it is necessary to make up the medical expenses.
Personal accounts are mainly used to pay for general outpatient medical expenses, drug purchase expenses and hospitalization medical expenses borne by individuals. When the personal account balance is insufficient to pay, the excess shall be borne by the individual. Pooled funds and individual accounts shall be accounted for separately and shall not be misappropriated.
What materials are needed for reimbursement of medical insurance card?
1, original ID card or social security card;
2, the original certificate of disease diagnosis issued by the designated medical institutions;
3, outpatient medical records, inspection, test results report and other original medical information;
4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;
5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;
6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;
7. If it is an agent, you need to provide the original ID card of the agent.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.
Thirty-first social insurance agencies can sign service agreements with medical institutions and pharmaceutical business units to regulate medical service behavior according to the needs of management services.
Medical institutions shall provide reasonable and necessary medical services for the insured.
Thirty-second individuals across the overall regional employment, the basic medical insurance relationship will be transferred, the cumulative payment period.
Why?