Legal subjectivity: We all know that medical insurance is composed of two parts: one is the money in the personal medical insurance card account, and the other is the money paid by the unit into the medical insurance pooling fund, that is, the pooling fund, then the money in the medical insurance card can
For family use?
The editor below has compiled this knowledge for you, welcome to read!
Can the money in the medical insurance card be used for family members? The insured person will pay the expenses incurred by close relatives from the balance of his or her personal account over the years. Relevant supporting materials are required, such as household registers, marriage certificates, etc. that prove the relationship between close relatives, medical insurance cards,
Original hospital fee receipts, lists and medical records must be submitted to the medical insurance agency in the insured area to apply.
The expenses that can be paid for close relatives are stipulated in two scopes. The "Opinions on Expanding the Scope of Payment of Balance Funds in Medical Insurance Individual Accounts" clarifies that close relatives include spouses, parents, children, brothers and sisters, grandparents, maternal grandparents, grandchildren, and maternal grandchildren.
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It stipulates the fees that can be paid for close relatives: 1. Personal contributions for the urban and rural residents’ basic medical insurance for close relatives of the insured person, and the cost of using rabies vaccine, various pneumococci, and influenza vaccines.
For example, if a child gets a flu shot, if the child's parents, grandparents, etc. have balances in their medical insurance accounts over the years, they can use the money to pay for it.
However, the form of payment is not to swipe the card directly. Instead, you need to pay in advance yourself, and then bring relevant supporting documents to the medical insurance agency in the insured place to apply.
2. Medical expenses incurred by close relatives of insured persons that are within the payment scope of basic medical insurance and are borne by the individual after being compensated by basic medical insurance.
Some people may be thinking that since the money in the medical insurance card of close relatives can be paid according to regulations, it is troublesome to go to the social security department to go through the relevant procedures. It is better to swipe their medical insurance card directly.
This kind of behavior is the use of other people's medical insurance cards to defraud medical insurance funds. If it constitutes a crime, you will be held criminally responsible according to law.
If readers need legal help, they are welcome to seek legal consultation.
Legal objectivity: 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.