Medical insurance card to medical insurance center reimbursement

1. No. Hospital reimbursement is the reimbursement of medical insurance, and the staff of medical insurance are in the hospital. According to the relevant provisions of social security, the hospital should pay for the expenses of hospitalized patients. According to the proportion of reimbursement, there is no need for you to go to the medical insurance center for reimbursement. This can rece plication of work, otherwise you will be discharged. Also have to line up reimbursement of hospital expenses, rece the number of troublesome proceres.

2. It depends on the specific regulations of the medical insurance center where you are insured. Generally, it is necessary to provide invoice, diagnosis certificate, detailed expense list, of medical insurance card, of ID card, of my bank passbook, traffic police department's certificate of responsibility for traffic accident, unit certificate, hospitalized cases, etc.

3. ID card, medical insurance card, medical record and diagnosis certificate when necessary

4. How to apply for reimbursement of medical insurance

is a problem that many people are concerned about

in fact, there are many people around us who lack the correct way to open medical insurance

this is not a chance to collect the socialist wool<

aunt Baiyun is optimistic about you ~

today, let's talk about the correct way to open medical insurance reimbursement

first, what is medical insurance
a social insurance system established to compensate workers for the economic losses caused by disease risks<

through the payment of employers and indivials, the medical insurance fund is established.

after the medical expenses of the insured are incurred, the medical insurance institution will give them certain economic compensation<

the establishment and implementation of the basic medical insurance system has gathered the economic strength of the units and members of the society.

coupled with government subsidies, the sick members of the society can get the necessary material help from the society,

rece the burden of medical expenses, and prevent the sick members of the society from "poverty caused by illness"

to put it bluntly, when we are sick, the state pays to help us see a doctor to rece the financial burden of migrant workers.

moreover, there is no requirement for the insured population< Second, there are two ways of payment: one is the medical insurance for urban employees paid by ordinary office workers who have signed labor agreements, and the other is the social security that the state forces employers to pay,

the amount of payment is composed of two parts:

one is a part of the company's payment (accounting for the majority)

one is a part of the indivial's responsibility (accounting for the minority)

the other is the medical insurance for urban and rural residents paid by unemployed or self-employed people

this medical insurance for urban and rural residents is to integrate the medical insurance for urban residents and the new rural cooperative medical system, Establish a unified medical insurance system for urban and rural residents
this system enables both rural and urban residents to participate in the insurance

but the fees need to be paid by themselves, and the amount paid is less than the employee's medical insurance, but it is not mandatory

moreover, the payment standard of medical insurance in each city is different, which should be subject to the local medical insurance management center

how to pay<

1. Medical insurance for urban employees

generally, employers and indivials should pay the percentage of the local social security base (or a certain salary) every month,

the money will be directly dected from the salary,

the insured men are over 60 years old and women are over 55 years old,
the payment period for men is not less than 25 years, Women should pay for no less than 20 years,

among them, the actual payment of basic medical insurance must be no less than 15 years, and they can enjoy medical insurance benefits after retirement

if the minimum number of years is not met before retirement, the medical expenses of the actual payment years can be made up at one time

however, it still depends on whether the local government has a supplementary payment policy<

2. The payment fee of medical insurance for urban and rural residents is much lower than that for urban employees.

there is no requirement for the payment period of medical insurance for urban and rural residents, and they can enjoy one year's treatment if they pay one year's fee

however, when the employee's medical insurance reaches the retirement age, it must be paid for at least 25 years

the premium is paid once a year. In principle, the payment time is from July to December of each year.

the next year of payment, the urban and rural residents enjoy medical insurance treatment.

there is no retirement treatment for urban and rural residents, but the government will also give certain subsidies<

Third, reimbursement ratio
because the two kinds of medical insurance pay different fees, so they enjoy different treatment.

employees pay more insurance premiums, so their treatment is relatively better.

the reimbursement ratio of employees' medical insurance is 10% - 20% higher than that of residents' medical insurance<

for example,

my father was in business in his early years, and now he doesn't work at home

and he doesn't reach the retirement age,

so he paid local residents' medical insurance

but his old friends all paid employee's medical insurance

every time he came back from the hospital, he would complain to me that the reimbursement rate was too low,

5. The money in the social security card is yours, just like cash. If you spend it, you can go to social security for reimbursement with your reimbursement voucher.

6.

Insurance editor to help you answer, more questions can be answered online

[economic gossip]
you don't know how to use the medical insurance card [ the link]
you can also learn about the correct use of the medical insurance card when you see it on the Internet
I believe that many people have a medical insurance card, so we should pay special attention to some things in the process of using it, otherwise we will suffer from mb losses! If you need to be hospitalized for serious illness, it's easy to handle. Just give the card to the hospital, and you can be at ease for treatment. It doesn't matter if there's no money in the card. When discharged, the hospital will settle accounts with the medical insurance center, and the indivial only needs to bear one third of the expenses
What about going to the clinic? That will have to use the card balance to pay for outpatient expenses, if the card balance used up how to do? Out of pocket. That's good. However, when the amount of our own expenses exceeds 1200 yuan, the excess part can be reimbursed, and the proportion is 60%
for example, if you spend 2000 yuan on the outpatient service, 480 yuan will be reimbursed for the extra 800 yuan, and 320 yuan will be borne by the indivial. The hospital and the medical insurance center will settle the bill directly, so you don't have to worry about it
but please note: before going to the hospital, you must transfer to the community hospital. This procere must not be omitted! Otherwise, even if you spend 8000 yuan, I'm sorry, there is no reimbursement for one cent, all at your own expense! I'm afraid many people don't know this rule. Just go to the community hospital once a year, so please go to the community hospital in January every year. It's better to transfer to a large general hospital, and then to a traditional Chinese medicine hospital, so that you can see a doctor in the future
there is no need to transfer to specialist hospitals, such as brain hospital, chest hospital, tumor hospital, stomatological hospital and so on, because these hospitals are irreplaceable. The self funded part can be accumulated. As long as it reaches 1200 yuan per year, the excess part can be reimbursed in proportion
we often don't know many policies, and the relevant government departments don't seem to want us to know. Let's speculate on the reasons. Do not believe to ask the people around you, how many people know this rule
another point is that outpatient medical insurance can also be reimbursed in the future, which is divided into three parts: on-the-job, career retirement and urban residents. The reimbursement proportion is different. The on-the-job is from 20 yuan, and 60% will be paid for more than 20 yuan. For example, if you spend 100 yuan in outpatient service, 60% will be paid for 48 yuan except 20 yuan, and 20 + 48 = 68 yuan will be paid for yourself, and every time you have 20 yuan. If you forget the others, check again. What was done last year should be implemented this year

7. The unit is only responsible for you to participate in social insurance, and the expenses incurred should be reimbursed to the social security center of the insured place.

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