Medical insurance access means that the insurance is being processed, but it has not yet officially taken effect.

Only after specific information is displayed can the application be considered successful and you can enjoy the benefits brought by the insurance.

This situation is common among users who purchase insurance for the first time, such as social security, medical insurance, work injury, unemployment, etc., all of which may occur.

It is recommended to check again after a while. If specific information is displayed, it means the application was successful.

If it is not displayed yet, you can go to the local Social Security Bureau to inquire about the specific reasons.

: 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 employer and individual contributions. After insured persons incur medical expenses for medical treatment, the medical insurance agency will provide them with certain financial compensation.

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.

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 for medical treatment and purchase. or go to a designated retail pharmacy designated by the social insurance agency to purchase drugs with a medical prescription issued by a doctor at a designated hospital.

(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.

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 expenses 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 (including receipts for large amounts and below, the bottom of prescriptions, etc.) for medical treatment at designated hospitals as proof of medical expense reimbursement.

4. Outpatient medical treatment for three special diseases: When the insured person needs to seek medical treatment in the outpatient clinic after taking radiotherapy and chemotherapy for malignant tumors, renal dialysis, and kidney transplantation, the second and third level designated medical centers for the insured person will be selected.

The hospital issues a "Disease Diagnosis Certificate" and fills out the "Medical Insurance Special Disease Application Approval Form" and reports 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.