Yes, medical insurance fund payment means that medical insurance has used the overall fund to reimburse you. The amount of this medical insurance payment is directly deducted at the hospital. It is mainly for convenience and does not require you to go through special reimbursement procedures. Medical insurance payment is not what you pay yourself. You cannot
No more reimbursement.
The amount of the medical insurance card has two parts, one is the pooled amount and the other is the non-pooled amount.
The non-pooled amount will be there every month, but if it is not used every month, it will be cleared. It is about 80 yuan, so it is okay to go to the drugstore every month and use the non-pooled money to buy some medicine and health care products. If
If you don't use it, it won't accumulate, but the overall amount is accumulated and can be used in designated hospitals.
The money from the medical insurance card can only be used to buy medicines or go to the hospital for medical treatment. It is impossible to withdraw it. However, pharmacies now have many daily necessities, such as washing powder, shower gel, etc. If you don’t want to buy medicines without the total amount, you can also
You can use your medical insurance card to buy these daily necessities in pharmacies for 300 yuan to see a doctor, which can be divided into the following situations: Situation 1: Participants of employee medical insurance can use their personal account balance to buy medicines at pharmacies, or they can go directly to pharmacies.
Pharmacy Deduction.
Situation 2: Seeing a doctor at a designated medical institution is usually within the deduction line of urban and rural medical insurance and employee medical insurance. Situation 3: If you go to a specialist outpatient clinic or a two-person outpatient clinic, part of the expenses can be reimbursed at lower-level hospitals.
They are all over 300 yuan, so if you just go to a simple outpatient clinic, you will not meet the medical insurance reimbursement threshold, so reimbursement is not allowed.
Will the social security card affect medical insurance after changing the bank? Generally speaking, there is no impact on the use of the medical insurance card after the social security card is changed to the bank. If the social security card and the medical insurance card were used separately as two cards in the past, then the social security card will not be affected by changing the bank.
Changes to relevant information on medical insurance cards will be affected.
If the two cards are now merged into one card for use, then the account information of the two insurances is actually separate, and changes to the social security card information will not affect the use of the medical insurance card.
What information is needed for medical insurance reimbursement? 1. You need to bring the following information when reimbursing: 1. Original ID card or social security card; 2. Original disease diagnosis certificate issued by a specialist in a designated medical institution; 3. Outpatient medical records, examinations, and test results
Original medical information such as report forms; 4. Original outpatient fee receipts from unified financial and taxation medical institutions; 5. Outpatient fee detailed list printed by the hospital computer or the original payer of the prescription issued by the doctor; 6. Designated pharmacies: unified tax commodity sales invoices and
The original copy of the computer printed list; 7. If you are applying on behalf of someone else, you need to provide the original ID card of the agent.
Reimbursement process: Bring all the above information to the relevant departments of the local social security center to apply for processing. After review, if the information is complete and meets the conditions, it can be processed immediately.
When the applicant applies for outpatient medical expense reimbursement, the amount transferred to the medical insurance personal account in the current social security year will be deducted first, and then the reimbursement amount will be determined.
Legal basis: "Social Insurance Law of the People's Republic of China" Article 29 The part 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.
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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.