Pay out-patient expenses to medical insurance center reimburseme

1.

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Medical insurance is divided into two accounts, personal account. The money reflected in the medical insurance card can be used to buy medicine in designated drugstores, pay for outpatient expenses and pay for the part of personal expenses in hospitalization expenses; The co-ordination account is managed by the medical insurance center, and the expenses of the insured who meet the local medical insurance reimbursement are paid by the co-ordination account
2. When seeking medical treatment, show the medical insurance card to the designated hospital to prove the identity of the insured. When checking out, the part paid by the indivial is paid by himself with the medical insurance card or cash, and the part of the medical insurance reimbursement is settled by the medical insurance and the hospital, The indivial does not need to pay before reimbursement
3. As for the out of pocket payment of 1000 yuan, my understanding is the starting line, that is to say, the expenses incurred in hospitalization should be paid by the insured first, and the part beyond 1000 should be reimbursed according to the reimbursement proportion of local medical insurance
4. As for outpatient service, not all local medical insurance can be reimbursed, such as the Beijing regulations, When the total outpatient expenses in that year exceeds 2000, 50% of the expenses can be reimbursed. If the money in the card can be paid, it can be paid with the card. If not, it can be reimbursed in cash. Generally, it is the same as hospitalization. If not, it can't be reimbursed anywhere. Medical treatment and childbirth are two different types of insurance. If you have participated in social security, then there should be maternity insurance. But still ask the landlord to make sure whether the unit has handled it. If yes, you can enjoy the benefits of maternity insurance if you have been insured for more than one year

2.

Just show me your social security card. When you see a doctor in a designated hospital, you need to show your social security card to prove your identity and registration. You don't need to pay before reimbursement. You can directly settle the part of the social security reimbursement by social security and the hospital. Only when you settle the account, you can use the balance of your social security card or cash to pay the self paid part

detailed reimbursement regulations:

reimbursement scope: general outpatient and emergency expenses incurred by insured personnel in designated hospitals or specialized hospitals of medical insurance, traditional Chinese medicine hospitals and class A hospitals selected by indivials. Outpatient starting line: the total outpatient and emergency expenses in a natural year exceed 1800 yuan

reimbursement proportion: for the part of more than 1800 yuan, 70% of the hospital, 90% of the community, and the top line: 20000 yuan

extended information:

the social security card of the people's Republic of China is an integrated circuit (IC) card, which is planned by the Ministry of human resources and social security and issued to the society by local human resources and social security departments for various business areas of human resources and social security

the role of social security card is very extensive. Cardholders can not only make real-time settlement of medical insurance personal accounts with their cards, but also handle endowment insurance affairs; Apply for job registration and unemployment registration; Apply for unemployment insurance benefits; Apply for employment training; Apply for labor ability appraisal and enjoy instrial injury insurance benefits; Handle labor and social security affairs on the Internet

the social security card adopts the national unified standard, and the social security number adopts the citizenship number according to the relevant provisions of the social insurance law

reference: network social security card

3. There is no difference between medical insurance card and cash account, as follows:

1. Medical insurance is divided into two accounts, indivial account. The money reflected in the medical insurance card can be used to buy medicine in designated drugstores, to pay for outpatient expenses and to pay for the personal part of hospitalization expenses; When seeking medical treatment, show the medical insurance card to the designated hospital to prove the identity of the insured. When checking out, the part paid by the indivial is paid by himself with the medical insurance card or cash, and the part of the medical insurance reimbursement is settled by the medical insurance and the hospital, Indivials do not need to pay before reimbursement. Therefore, there is no difference between using the medical insurance card and using cash to pay the out of pocket expenses. The money in the medical insurance card is entered monthly and will not be recovered. Without the money in the medical insurance card, the out of pocket part can only be used in cash, but the medical insurance reimbursement part is still responsible by the medical insurance.

4. It can only be paid in cash, not overdraft< It is suggested that you understand the specific policy of medical insurance reimbursement:
1. Medical insurance is divided into two accounts, personal account. The money reflected in the medical insurance card can be used to buy medicine in designated drugstores, pay for outpatient expenses and pay for the personal part of hospitalization expenses; The pooling account is managed by the medical insurance center, and the expenses of the insured who meet the local medical insurance reimbursement are paid by the pooling account
2. When seeking medical treatment, show the medical insurance card to the designated hospital to prove the insured identity and registration. The reimbursement part of the medical insurance is settled by the medical insurance and the hospital, and the indivial does not need to pay before reimbursement. At the time of settlement, the part of the indivial's self payment is paid by the balance of the medical insurance card and cash
3. During hospitalization reimbursement, there is an initial payment line (the initial payment standard is generally 10% of the average annual salary of the city's employees in the previous year). That is to say, the payment line needs to be paid by itself, and the part beyond the initial payment line can be reimbursed according to the local medical insurance regulations. The reimbursement proportion varies from place to place, and different hospitals and different projects are also different, which can't be given to you specifically, About 80%, you can go to the local labor and social security network for details.

5. If it is, you need to go to the medical insurance center to apply for reimbursement.

if it is not, it means that you have been reimbursed

6.

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when seeing a doctor, show the medical insurance card to the designated hospital to prove the insured identity and registration. The reimbursement part of the medical insurance is settled by the medical insurance and the hospital, which belongs to the public expense. When settling the account, the part paid by the indivial is paid by himself with the balance of the medical insurance card and cash, which belongs to his own expense
medical insurance is divided into indivial accounts, and the money reflected in the medical insurance card can be used to buy drugs in designated pharmacies, pay for outpatient expenses and pay for the indivial self paid part of hospitalization expenses; The co-ordination account is managed by the medical insurance center, and the expenses of the insured in line with the local medical insurance reimbursement are paid by the co-ordination account

7. If the social security card is used directly for medical treatment, there is no need to apply for reimbursement. If it's hospitalization reimbursement, first register the hospitalization with the social security card, and then submit it to the Social Security Bureau for approval by the inpatient representative of the hospital. After the approval, you can directly use the social security card to discharge< First, for the use of special medical materials or disposable medical materials with a unit price of more than 1000 yuan, as well as the installation and replacement of artificial organs, the basic medical insurance co-ordination fund will pay 90% of the domestic universal price< The basic medical expenses of chemotherapy, radiotherapy, interventional therapy or radionuclide therapy for malignant tumor in outpatient department are paid by the basic medical insurance fund< Thirdly, 80% of the outpatient special examination and treatment expenses are paid by the basic medical insurance fund and 20% by the indivial

fourthly, continuous payment is linked with reimbursement proportion. After two years of continuous insurance, the reimbursement proportion increases to 71%, and after four years of continuous insurance, the reimbursement proportion increases to 72%, and so on.

8. The balance of indivial account in medical insurance can be used for the settlement of out-patient and in-patient self funded part, pharmacy drug purchase, etc., which is equal to their own money, but there are certain restrictions on the use. If the balance of personal account is zero, the outpatient and drugstore consumption that can be used in the future can only be paid by themselves in cash, and can not be reimbursed.

9. The state has not issued this commemorative coin, and generally there is no press conference for the issuance of commemorative coins. You can go to the official website of the people's Bank of China to see the announcement. There are corresponding announcements for the issuance of commemorative coins. No announcement is false. Gold, silver and precious metal commemorative coins can also go to China gold net to see the announcement
to put it another way, all activities are stopped at this time, and it is impossible to hold any irrelevant press conference.
this kind of name is fake, and the real commemorative coin will not be named like this