We all know that medical insurance consists of two parts: one is the money in the personal medical insurance card account, and the other is the money paid by the unit to the medical insurance pooling fund, that is, the pooling fund. So can the money in the medical insurance card be used at home? The following small series has compiled this knowledge for everyone, welcome to read! Can the money in the medical insurance card be used for family members? The insured shall pay the expenses incurred by their close relatives from the surplus funds in personal accounts over the years, and apply to the medical insurance agency in the insured place with relevant supporting materials, such as household registration book and marriage certificate, medical insurance card, original vouchers of hospital charges, list and medical records. There are two kinds of fees that can be paid to next of kin. The Opinions on Expanding the Payment Scope of Personal Account Balance of Medical Insurance clearly states that close relatives include spouses, parents, children, brothers and sisters, grandparents, grandchildren and grandchildren. The expenses that can be paid by close relatives are specified as follows: 1, personal expenses for participating in basic medical insurance for urban and rural residents by close relatives of the insured, and expenses for using rabies vaccine, various pneumococcal vaccines and influenza vaccines. For example, if a child is vaccinated with flu vaccine, if there is a balance in the medical insurance account of the child's parents or grandparents, the money can be used to pay. However, the form of payment is not a direct credit card, but you need to pay in advance yourself, and then apply to the medical insurance agency in the insured area with relevant certification materials. 2. Medical expenses incurred by close relatives of the insured who meet the payment scope of basic medical insurance and are borne by individuals after compensation by basic medical insurance. Some people may be thinking, anyway, the money in the medical insurance card of close relatives can be paid according to the regulations, and it is also troublesome to go to the social security department to go through the relevant procedures. It is better to directly brush their medical insurance cards. This kind of behavior belongs to fraudulent use of other people's medical insurance cards to defraud the medical insurance fund, which constitutes a crime and will be investigated for criminal responsibility according to law. Readers who need legal help are welcome to seek legal advice.
Legal objectivity:
People's Republic of China (PRC) social insurance law
second
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
People's Republic of China (PRC) social insurance law
Article 4
Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.