The basic medical insurance pooling fund and individual accounts delineate their respective payment scopes and calculate them separately.
Medical expenses that are within the payment scope of the basic medical insurance fund shall be reimbursed in accordance with the basic medical insurance drug catalog, diagnosis and treatment item catalog, service facility scope and payment standards stipulated by this city.
Personal accounts pay for the following medical expenses: outpatient and emergency medical expenses; drug purchases at designated retail pharmacies; medical expenses below the basic medical insurance co-ordinating fund threshold; medical expenses exceeding the basic medical insurance co-ordinating fund threshold shall be paid in proportion
Personal medical expenses.
Any shortfall in personal account shall be paid by myself.
1. Procedures required for public medical reimbursement: 1. Medical insurance IC card; 2. Personal ID card; 3. Original and copy of medical birth certificate; 4. Original and copy of birth certificate.
2. The main objects who can enjoy public medical care are as follows: 1. Staff members of state agencies, political parties and people’s organizations at all levels whose salaries are paid within the national budget and who are on the staff; 2. Staff whose salaries are paid within the state budget and who are on the staff
Staff of public institutions, such as cultural, educational, scientific, health, sports, economic construction and other units at all levels; staff of trade union leading agencies at or above the county or urban district level; grassroots industrial and commercial and tax personnel who belong to the state; 3. Units that enjoy publicly funded medical care
, non-staff personnel who have been approved for long-term rest due to illness, long-term support and over-staff personnel to be allocated.
Legal basis: Article 2 of the "Social Insurance Law of the People's Republic of China" The state establishes basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance and other social insurance systems to protect citizens in the event of old age, illness, work-related injury,
The right to obtain material assistance from the state and society in accordance with the law in cases of unemployment, childbirth, etc.
Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical insurance and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.