1. "Medical insurance income" is the amount of money that the medical management center regularly deposits into the personal account, which is expressed in the increasing balance of the medical insurance card.

The amount of money contributed is generally the amount an individual pays each month.

This medical insurance card can be used for purchases at designated pharmacies or outpatient clinics.

2. Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks.

A medical insurance fund is established through contributions from employers and individuals. After insured persons incur medical expenses for medical treatment, the medical insurance agency will provide them with certain financial compensation.

3. The establishment and implementation of the basic medical insurance system gathers the economic strength of units and social members, coupled with government funding, so that sick members of society can obtain necessary material help from the society, reduce the burden of medical expenses, and prevent illness.

members of society are “impoverished due to illness”.

In November 2019, Anhui's first batch of 422 disease categories and payment methods were announced. From January 1, 2020, urban and rural residents covered by medical insurance will have unified payment standards when seeking medical treatment in 18 provincial hospitals.

1. Medical insurance reimbursement conditions Article 28 of the Social Insurance Law stipulates that 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.

[4] According to the basic requirements for the payment of basic medical insurance benefits in my country, insured persons must go to medical insurance institutions to reimburse the medical expenses incurred by themselves for medical treatment. Generally, the following conditions must be met: (1) Insured persons must go to designated medical institutions for basic medical insurance. Purchase medicines for medical treatment in an institution, or purchase medicines from designated retail pharmacies determined by social insurance institutions with medical prescriptions issued by doctors in designated hospitals.

(2) The medical expenses incurred by insured persons during medical treatment must comply with the scope and payment standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facility standards before they can be paid by the basic medical insurance fund in accordance with regulations.

(3) Among the medical expenses of insured persons that are within the payment scope of basic medical insurance, the portion of the expenses above the minimum payment standard of the social medical co-ordination fund and below the maximum payment limit shall be paid by the social medical co-ordination fund in a uniform proportion.

2. Medical insurance reimbursement ratio (1) Outpatient and emergency medical expenses: The accumulated medical expenses within the scope of basic medical insurance for active employees within the year (January 1st to December 31st) exceed 2,000 yuan.

(2) Settlement ratio: During the contract period, 50% of the dispatched personnel's portion exceeding 2,000 yuan will be reimbursed, and the individual will pay 50%; the maximum amount of outpatient and emergency reimbursement paid to dispatched personnel in one year is 20,000 yuan.

(3) Insured persons must properly keep the outpatient medical receipts for treatment at designated hospitals (including receipts for large amounts and below, the bottom of prescriptions, etc.) as proof of medical expense reimbursement.

(4) Outpatient medical treatment for three special diseases: When an insured person needs to seek medical treatment in an outpatient clinic after taking radiotherapy and chemotherapy for malignant tumors, renal dialysis, or kidney transplantation, the second and third-level medical services provided by the insured person will be used.

The designated hospital will issue a "Disease Diagnosis Certificate", fill out the "Medical Insurance Special Disease Application Approval Form", and submit it to the district medical insurance center for approval and filing.

Outpatient medical treatment and medicine collection for these three special diseases are only available in designated hospitals approved for treatment, and cannot be purchased at designated retail pharmacies.

If the medical expenses incurred fall within the prescribed range for outpatient special diseases, they will be settled with reference to hospitalization.

(5) Inpatient medical treatment.

Only if you have paid enough medical insurance for 20 years can you enjoy medical insurance reimbursement after retirement.

The reimbursement ratio range of medical insurance varies from place to place. Please refer to local policies for details.