You can use the money in the personal account of the medical insurance card to pay for the physical examination. If there is no money in the personal account of the medical insurance card, you will have to pay for it yourself.
The medical insurance card has two accounts, one is a personal account and the other is a pooled account. The money in the personal account can be used to see general outpatient services, purchase medicines, etc., while the pooled account is generally used to reimburse the insured's hospitalization medical expenses, etc.
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1. The cost of using the medical insurance card for physical examination. If you use the medical insurance card according to normal regulations, you will usually have to bear 1,000 yuan, and then you will be given a discount based on the proportion of use. It is estimated that about 200 yuan will be deducted.
In fact, whether the medical insurance card can be used during the physical examination itself must be strictly in accordance with the doctor's charging standards. If you go to a tertiary hospital for a comprehensive examination, the cost is about 500 yuan, and you cannot use medical insurance at this time.
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On the one hand, the scale of the hospital is relatively small, and on the other hand, the required fees are relatively low. However, some private hospitals can use medical insurance cards because the physical examination items are relatively high, but only a part of the fees can be deducted.
2. What are the conditions for medical insurance reimbursement? 1. Medical treatment at a designated medical institution of cooperative medical care; 2. Original invoice; 3. Medical insurance card and personal ID card.
The legal basis is the "Social Insurance Law of the People's Republic of China". The state establishes social insurance systems such as basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance; to protect citizens from old age, illness, work-related injuries, unemployment, childbirth, etc.
The right to obtain material assistance from the state and society in accordance with the law.
Article 29: The portion 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.
Article 30: The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Those that should be paid from the work-related injury insurance fund; (2) Those that should be borne by a third party; (3) Those that should be paid by the public health insurance fund
(4) Seeking medical treatment abroad.
Medical expenses shall be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first.
After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.