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Why do parents have text messages when they brush medical insurance?
1. Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
According to the provisions of the Social Insurance Law of People's Republic of China (PRC), the medical insurance card must meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and be paid from the basic medical insurance fund in accordance with state regulations.
2. Drugs are divided into medical insurance drugs and non-medical insurance drugs. Medical insurance drugs have a national unified medical insurance drug list. Provincial departments can add some drugs to the national medical insurance drug list, but they cannot reduce the national list. Although the national medical insurance drug list has been expanded, there are still some non-medical insurance drugs out of the list that cannot be purchased with medical insurance cards, such as some nutritional drugs and health care drugs.
The method of brushing medical insurance is as follows:
1. Under normal circumstances, when you need to be hospitalized due to illness, you can go to your designated hospital with your medical insurance card and medical records, and settle with your medical insurance card. In other words, the self-funded part is paid by itself, and some medical insurance centers and hospitals reimburse and settle accounts;
2. There are three conditions for holding a social security card to see a doctor:
(1) When registering, you must show your social security card, pay personal and self-funded expenses in cash, and the hospital will issue a bill for the insured;
(2) When seeing a doctor, you should take the initiative to show your social security card to the doctor;
(3) When paying, the social security card and payment documents must be handed over to the settlement personnel.
3. The use of medical insurance cards is limited by geographical scope. Insured employees can use the medical insurance card when purchasing drugs in designated hospitals and pharmacies, or they can use it on the POS machine with their passwords, but they cannot withdraw cash or transfer money. Scope of hospitalization reimbursement of medical insurance. Only in designated hospitals, hospitalization due to illness and some accidents. Self-funded drugs can not be reimbursed, class B drugs can be reimbursed 80%, bed fees are limited, and some inspection fees and medical expenses can not be reimbursed according to regulations. The money in the medical insurance card can be used to buy over-the-counter drugs at designated places.
To sum up, the scope of use of the medical insurance card is that when the insured employees buy medicines in designated hospitals and pharmacies, they can swipe their cards on the POS machine with their passwords, but they cannot withdraw cash or transfer money. The use of medical insurance cards is limited by geographical scope. Insured employees can use the medical insurance card when purchasing drugs in designated hospitals and pharmacies, or they can use it on the POS machine with their passwords, but they cannot withdraw cash or transfer money.
Legal basis:
Article 24 of People's Republic of China (PRC) Social Insurance Law
The state establishes and improves the new rural cooperative medical system.
Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25
The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
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