After the electronic certificate of medical insurance card is activated, the QR code can be obtained, and the hospital can directly scan the QR code when seeing a doctor. The reimbursable part shall be reimbursed immediately, and the non-reimbursable part shall be deducted directly from the balance of the personal medical insurance account. The electronic document of medical insurance card has the same function as that of medical insurance card, and has the functions of identity identification, information recording, self-service inquiry, insurance settlement, business handling and so on. After the problematic medical insurance electronic document, the user can support the query of hospital pharmacy through the electronic document to see which hospital pharmacy can directly use the medical insurance electronic document.

Electronic Social Security Card: It is a electronic certificate and settlement tool for online enjoyment of social services and other livelihood services. One-to-one correspondence with the entity social security card, unique mapping, the same status and the same function. Cardholders can choose to use physical cards or electronic social security cards according to application scenarios and personal preferences.

legal ground

Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.

Article 30 of People's Republic of China (PRC) Social Insurance Law

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

The medical insurance reimbursement policy is as follows:

1, the basic medical insurance for urban residents shall be settled in hospital;

2. Residents should bring their medical insurance books and ID cards to the medical insurance office of the hospital where they live for registration within 24 hours of hospitalization;

3, when discharged from the hospital, directly reimbursed by the hospital, individual residents only need to pay personal expenses;

4. Maternity insurance reimbursement must also carry a marriage certificate.