Some vaccines can be reimbursed by medical insurance cards as a whole, such as rabies vaccine, which belongs to medical insurance category B, so part of it can be reimbursed by medical insurance; Some vaccines can't be reimbursed by medical insurance pooling account, but they can be paid directly by personal medical insurance account, such as DTP vaccine, diphtheria vaccine and HPV vaccine.
So can the money from the personal account of medical insurance be taken out?
Under normal circumstances, the balance of medical insurance personal account cannot be withdrawn.
The role of personal account balance of medical insurance is as follows:
(1) You can only see a doctor and buy medicine in designated hospitals and pharmacies;
(2) The balance of the personal medical insurance card account is earmarked and can only be used to buy medicine and see a doctor. If you want to use it directly as cash, it won't work;
(3) Medical insurance cards will not be paid for non-designated medical institutions and non-designated retail pharmacies.
According to the relevant regulations, vaccines that meet the requirements of the medical insurance catalogue can be paid by medical insurance cards. Specifically, vaccines that meet the following conditions can be paid by medical insurance cards:
1. Vaccine has been included in the national medical insurance catalogue;
2. The vaccinated population meets the prescribed vaccination scope;
3. The medical institution vaccinated with the vaccine has the vaccination qualification and has filed it with the Medical Insurance Bureau.
It should be noted that not all vaccines can be paid by medical insurance card, only vaccines that meet the above conditions can. At the same time, the medical insurance catalogue and vaccination regulations in different regions may be different, and the local medical insurance department needs to be consulted for details.
To sum up: if the parties vaccinate themselves, they can pay by medical insurance card; If they vaccinate their children, they can't pay by medical insurance card. The medical insurance fund consists of overall funds and individual accounts. The medical expenses incurred by the insured workers in purchasing medicines in outpatient departments of designated medical institutions and designated pharmacies shall be paid by individual accounts, or the medical expenses below the Qifubiaozhun and the part that must be paid by individuals shall be paid by the overall planning area.
Legal basis:
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.