The amount on the medical insurance policy is reimbursement. The medical insurance bookkeeping on the hospitalization bill is to deduct the expenses of medical insurance reimbursement and does not need to be paid by myself. Medical insurance refers to the basic medical insurance premium paid in full and on time by employers and employees according to the principle of compulsory social insurance through national legislation. If it is not paid in full and on time, the basic medical insurance fund will not pay its medical expenses regardless of individual accounts. Take the proportion of medical insurance payment in Beijing as an example: the employer pays according to the total payment base 10% _ setting posts and scraping calcium warning water stalks every month, and the employee pays 2% of his salary as a whole for serious illness+3 yuan.
Social medical insurance card, referred to as medical insurance card or medical insurance card, is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, account capital expenditure and consumption are stored and recorded. The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.
The medical insurance card will expire, and the validity period of the medical insurance card is generally as follows:
1,1under 6 years old, the validity period of social security card is generally 6 years;
2. 16 to 26 years old, and the social security card is valid for 10 years;
3. From 26 to 60 years old, the social security card is generally limited to 20 years;
For insured persons over 4.60 years of age, social security cards are generally valid for a long time;
5, the medical expenses of the insured shall be paid by the basic medical insurance fund, by the social insurance agencies and medical institutions, pharmaceutical business units direct settlement. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.