How do hospitals pay with medical insurance cards?

1. How to use the outpatient medical insurance card: 1. When going to a hospital for general medical treatment, you should look for a hospital with designated medical insurance, so that you can use the medical insurance card after seeing a doctor. Regular hospitals above the general district level are designated hospitals for medical insurance. 2. After seeing the clinic, if you need to take medicine, take photos, do experiments, etc. When you need to pay, first take the outpatient bill to the medical insurance price. Remember not to go directly to the medical insurance window, and the staff will not handle it without pricing. 3 after the pricing is completed, find the medical insurance window and hand over the priced documents and medical insurance cards to the staff. If the money in the medical insurance card is enough to pay, you can hand it in directly with the medical insurance card. If it is not enough, the rest will need to be padded by yourself. Second, how to use the medical insurance card in hospital: first show the medical insurance card when you are in hospital, and then show the medical insurance card for settlement when you leave the hospital. Three. The process of using the medical insurance card in the designated hospital: (1) Show the medical insurance card to prove the identity and registration of the insured in the designated hospital. Individuals can be directly reimbursed by medical insurance and hospital settlement medical insurance, without having to pay first and then reimburse. Only when paying the bill, the self-funded part will pay with the balance of the medical insurance card or cash. (2) There is a deductible for hospitalization reimbursement (the deductible standard is generally 10% of the average annual salary of employees in the whole city last year), which means that the money above the deductible needs to be paid by itself, and the reimbursement ratio varies from place to place, and different hospitals and different projects are different, about 80%. You can go to the local labor and social security online for details.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.