3070 power of Tianxuan 2
1. The social security card can only be used in the social health center bound by the unit
2. Take your social security card and ID card with you when you see a doctor
3. When you see an outpatient, if the daily expense is less than 120 yuan, you will pay 10% for yourself, and the social security reimbursement will be 90%. If the daily expense is more than 120 yuan, you will pay 120 yuan for social security and medical insurance, and you will pay the excess part for yourself
4< For the diseases that can not be solved by social health, the doctor will issue a referral form (designated referral to a higher level hospital). If the patient goes to the clinic, it must be the referral day. The expenses incurred within 3 days can be reimbursed in social health, and the referral form can be re issued according to the patient's condition. Hospitalization is another matter.
2, It can be paid by swiping the social security card directly in the hospital, otherwise, it will be reimbursed by the referral form, invoice and computer list back to the social health center (the social health center has a designated reimbursement time for reception)
3. The reimbursement amount of expenses incurred in the designated hospital ring the referral period is: 90% for inspection expenses, 80% for class a drugs and 60% for class B drugs The total amount of annual reimbursement is 800 yuan, and if it exceeds 800 yuan, it will be paid by indivials. From July 1 to June 31 of the next year, how to replace the bound social health center
2. If you are not admitted to a superior hospital designated by social health, what is the reimbursement rate for hospitalization
3. How can we know whether the unit has paid the social security on schele before seeing a doctor?
Shenzhen social security card binding hospital refers to binding fixed-point social health clinic. Due to different forms of medical insurance, it is different to use social security to see a doctor. Most of non Shenzhen households participate in migrant workers' medical insurance or hospitalization insurance, while Shenzhen households require comprehensive medical insurance, and some non Shenzhen households also participate in comprehensive medical insurance. Specific binding and changing methods are as follows:
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You can transfer, but you need to register with the social security center first
part of the medical expenses paid by the indivial out-patient, drug purchase and inpatient are directly settled by the IC card of the indivial account of medical insurance, and the excess expenses are paid by the indivial cash of the insured. Within three days of hospitalization, the insured should be registered with the social security center by the patient's family members or the client with the medical insurance card
the social security center has the right to refuse to insure the medical expenses of those who have not registered for the record, except for special circumstances. From the 15th to the 20th of each month, the discharged insured will go to the social security center for reimbursement of their medical expenses with the receipt of medical insurance card, in-patient diagnosis and in-patient medical fee list. The staff applying for chronic disease management in outpatient department should first register in the social security center and wait for the social security center to inform them to carry out medical appraisal
Two points should be paid attention to when handling the transfer proceres of medical insurance relationship:
1. If there is a receiving unit, the unit shall handle the medical insurance proceres. If there is no receiving unit, the indivial should participate in the insurance payment within three months after the termination of the original basic medical insurance relationship
2. When transferring the medical insurance relationship, the three kinds of medical insurance relationship can be changed freely. The three kinds of medical insurance relations refer to the basic medical insurance for urban workers, the basic medical insurance for urban residents and the new rural cooperative medical insurance
after the transfer of medical insurance, they will enjoy the corresponding treatment from the next month. If the medical expenses occur ring the processing period, if the insurance payment is made within 3 months, the local agency shall pay the relevant medical expenses according to the regulations. If the insurance payment is not made within 3 months, the local agency shall not pay the medical expenses ring the non payment period
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Shenzhen social security card binding hospital refers to the binding of designated social health clinics. Due to different forms of medical insurance, it is different to use social security to see a doctor. Most of non Shenzhen households participate in migrant workers' medical insurance or hospitalization insurance, while Shenzhen households require comprehensive medical insurance, and some non Shenzhen households also participate in comprehensive medical insurance. The specific binding and re binding methods are as follows:
Yes, after the employer binds the designated medical institutions to its employees, whether the employees can change the designated medical institutions on their own will vary from place to place. Some areas can and some areas can't. Shenzhen can be transferred. Community health service center is also known as community health service center, referred to as "social health center"
in Shenzhen, indivial employees can change the designated medical institutions bound by the unit
According to Article 33 of the measures for social medical insurance of Shenzhen City, a social health center in the city should be selected as a designated medical institution for outpatient treatment. If there is a employing unit, it shall be selected by the employing unit; If there is no use for a unit, it shall be chosen by the unit itself For those who are less than 14 years old, they can choose a social health center or a municipal hospital below secondary level as the designated medical institution for outpatient treatmentthe insured can change the selected social health center or other designated medical institution and seek medical treatment in the outpatient department of the changed social health center or designated medical institution from the month after the change takes effect
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Insurance and payment
Article 7 employers and employees shall jointly pay social medical insurance premium. The employing unit shall take part in the basic medical insurance for its registered residence workers, and choose one form for the non registered residence workers in the first, second and third tier of the basic medical insurance. Primary school medical insurance registered by p>
eighth non working personnel:
(1) non registered residence residents who are under 18 years of age in registered residence, primary and secondary schools and kindergartens in this Municipality, and whose parents are participating in the social insurance for a city and a city's household registered at least 1 years or more. Full time students who have received general higher ecation in all kinds of full-time colleges and universities (including private schools) or scientific research institutes in the city participate in the second level of basic medical insurance P>
(two) who has registered residence in the city before reaching the statutory retirement age and is over 18 years old, can participate in the first or second tier of basic medical insurance; p> (3) after reaching the statutory retirement age, those who move into the city and do not receive the employee pension insurance or pension on a monthly basis can apply for basic medical insurance P>
(four) the registered residence of non registered residents enjoying the minimum living security benefits is eligible for basic medical insurance. P>
(five) the disabled residents in the registered residence of the first to four grade are in the first place. p> (6) the unemployed ring the period of receiving unemployment insurance benefits participate in the second level of basic medical insurance
(7) according to the provisions of Article 14 and Article 15 of these measures, the employees who receive monthly pension insurance benefits or pension in this city shall participate in the first or second level of basic medical insurance (8) those who have reached the legal retirement age and continue to pay endowment insurance premium in the city can choose to participate in the first or second level of basic medical insuranceAround the center: it is to carry out research around the center of the city's economy, reform, social development and people's livelihood. Focusing on the center and serving the overall situation is the basic requirement of the central government for Discipline Inspection and supervision, and the basic requirement of the scientific outlook on development for Discipline Inspection and supervision
The center is the central task of the Party Central Committee, and the overall situation is the overall situation of the country's economic and social developmentthe 16th National Congress of the Communist Party of China put forward the requirements of grassroots party building work of "centering on the center, serving the overall situation, broadening the field and strengthening the function"
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take centering around the center and serving the overall situation as the main line of work, widely organize and mobilize the youth to give full play to the main force role in deepening reform and opening up and promoting economic and social development—— On July 2, 2018, President Xi's speech in a collective conversation with members of the new leading group of the Central Committee of the Communist Youth League must focus on the center and serve the overall situation as the main line of work. Only by focusing on the center can we find the right direction and serve the overall situation can we embody the value. The Communist Youth League should closely focus on the overall situation of the work of the party and the state, identify the entry point, the combination point and the focus of the work, widely organize and mobilize the youth to give full play to the role of a new force in deepening reform and opening up and promoting economic and social development
