Current location - Trademark Inquiry Complete Network - Tian Tian Fund - What if the balance of medical insurance card is not enough to pay for medical expenses?
What if the balance of medical insurance card is not enough to pay for medical expenses?
After the medical insurance card is reimbursed, the balance is not enough to pay the data fee, and the rest is paid in cash. Personal accounts are mainly used to pay the part of outpatient medical expenses and inpatient medical expenses that should be borne by individuals. Cash payment is required according to the actual situation after use.

Personal medical account (personal medical insurance card) funds are mainly used for the following expenses:

1, basic medical expenses for outpatient and emergency departments;

2, the basic medical expenses for specific items of hospitalization and outpatient service, which should be paid by individuals;

3, with a hospital prescription to the medical insurance designated retail pharmacies to buy basic drugs in medical insurance coverage, or the cost of buying basic non-prescription drugs in medical insurance coverage.

Legal basis:

Social insurance law

Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.

Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law

Article 8 The medical expenses incurred by the insured in the agreed medical institutions shall be paid by the basic medical insurance fund in accordance with the provisions of the state if they meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.