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As long as the money is useless, there will be no shortage in it, you can check it at the local medical insurance bureau, or you can check it at the pharmacy.
How to use the employee medical insurance card.
1) Present your medical insurance card when seeking medical treatment at a designated hospital.
Proof of insured status and **.
Individuals do not need to pay first and then reimburse, they can directly settle the part of the medical insurance reimbursement by the medical insurance and the hospital, and only when settling the bill, the self-paid part is paid by themselves with the balance of the medical insurance card or cash.
2) When the hospitalization is reimbursed, there is a starting line (the minimum payment standard is generally 10% of the average annual salary of the city's employees in the previous year), that is to say, the money of the starting line needs to be paid by yourself, and the part that exceeds the minimum payment line can be reimbursed according to the provisions of the local medical insurance, and the reimbursement ratio is different from place to place, and different hospitals and different projects are also different, about 80%, and you can go to the local labor security network for details.
If a patient with a medical insurance card wants to go to the hospital after getting sick, the process of going to the designated unit of medical insurance with a medical insurance card is as follows: when the insured person is sick, he or she should hold the medical insurance handbook and IC card.
You can go directly to the local designated medical institutions for treatment. The general procedure is as follows: hold the medical insurance handbook and IC card - register with the hospital medical insurance office - review and verify the card - pay the hospitalization deposit - hospitalization - the self-payment items need to be agreed and signed by the patient - the self-payment part of the cash or IC card settlement threshold and the self-payment ratio - the hospital will advance within the overall planning - settlement and discharge.
The settlement of hospitalization expenses adopts the post-payment method of service items.
Pay attention to the use of medical insurance cards:
1. Cash-out is prohibited.
No unit or individual shall violate the scope and requirements of the use of the medical insurance card, and it is strictly forbidden to withdraw cash. 2. Some provincial and municipal medical insurance cards can be used by the whole family.
Some provinces and cities, such as Zhejiang Province and Guangzhou City, have medical insurance personal accounts.
The surplus funds of the past years can be used to pay the spouses, children, parents and other close relatives of the employees who participate in the basic medical insurance.
medical insurance expenses to achieve mutual assistance between family members. 3. Medical insurance will not be paid in the following cases.
Visiting a non-designated medical structure or purchasing drugs from a non-designated retail pharmacy (except for emergency treatment);
Because of a fight, drug use, or other illegal behavior.
causing self-harm;
Because of alcoholism. Suicide, self-harm, or other reasons;
Due to traffic accidents and medical accidents.
or other liability accidents caused by injuries; and in cases where it should be paid by the individual according to national or local regulations.
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Employee health insurance card, as long as you have not used the money. The money is all in it, and it will not be less, so there is no need to question that this is normal, unless you have used it for others, and you don't have it yourself, but he has a sum of money, so you don't need to worry.
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Yes, if you haven't used it all the time, the money is in it.
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That's on the inside, you know, of course.
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You can check with your local health insurance bureau or at a pharmacy.
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Summary. If you have paid social security and there is no money in the social security card, there may be the following reasons: 1. The social security card has not been activated, in this case, please go to the bank counter to activate the business and change the password; Starting at the end of the second month after activation, the medical insurance account will be transferred to the new social security card.
If the account has not been received after the end of the second month, please consult the specific social security department. 2. It was activated, but the activation data of the bank was not received (there was a time difference, and there was a problem with the synchronization of activation data between the bank and the bank in the early stage, and many people could not obtain the activation information for several months).
Why is there no money in the social security card after paying the employee medical insurance?
If you have paid social security and there is no money in the social security card, there may be the following reasons: 1. The social security card has not been activated, in this case, please go to the bank counter to activate the business and change the password; Starting at the end of the second month after activation, the medical insurance account will be transferred to the new social security card. If the account has not been received after the end of the second month, please consult the specific social security department.
2. It was activated, but the activation data of the bank was not received (there was a time difference, and there was a problem with the synchronization of activation data between the bank and the bank in the early stage, and many people could not obtain the activation information for several months).
3. The person's activation data is up, but the person has not participated in the resident medical insurance or purchased the basic medical care of employees, and there is no medical account. 4. In the process of issuing medical insurance accounts, the information of the social security and banking systems is inconsistent, so the issuance is unsuccessful, and the problem is more complicated, and the insured needs to provide ID card number and other insurance information for further inquiry and follow-up.
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If there is no money in the medical insurance card, it will not affect the overall reimbursement of the medical insurance, but the self-payment part cannot be paid through the personal account of the medical insurance card.
Taking Zhengzhou as an example, according to Article 25 of the Measures for Basic Medical Insurance for Employees in Zhengzhou City, the overall planning is mainly used to pay for inpatient medical expenses, outpatient medical expenses for prescribed diseases and outpatient medical expenses for major diseases. The personal account is mainly used to pay for general outpatient medical expenses, drug purchase expenses and inpatient medical expenses, etc., and when the balance of the personal account is insufficient to pay, the excess part shall be borne by the individual. Co-ordination and personal accounts are accounted for separately, and they must not be misappropriated from each other.
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Health insurance card. If you don't have any money in it, you can also be reimbursed. As long as the local person's medical insurance card is in normal insurance status, even if there is no money in the medical insurance card, it can be reimbursed, and the social insurance agency will directly settle the settlement with the medical institution and the drug business unit.
However, the following expenses are not reimbursable:
1.should be paid out of work-related injury insurance**; 2.It should be borne by a third party; 3.should be done by public health.
burdensome; 4.Those who seek medical treatment outside of China. Therefore, as long as the medical expenses of the parties should be changed from basic medical allowance to branch therapy insurance.
**Payment, can be reimbursed in accordance with the relevant regulations, not paid by the basic medical insurance**, can not be reimbursed in accordance with the relevant regulations.
Legal basis: Social Insurance Law of the People's Republic of China.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative departments for social insurance and health shall establish medical treatment in other places.
The medical expense settlement system is convenient for the insured to enjoy the basic medical insurance treatment.
Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**: (A) shall be paid from work-related injury insurance**; (2) It shall be borne by a third party; (3) It shall be borne by public health; (4) Seeking medical treatment outside the country. Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance.
After the basic medical insurance is paid in advance, it has the right to recover from the third prudent person.
Social medical insurance is based on certain laws and regulations of the state and society.
The social insurance system established to provide basic medical needs in the event of illness to workers covered by the insurance is undertaken by ** and with the help of economic, administrative and legal means.
Enforce and organize management. Social medical insurance consists of three levels: basic medical insurance, large-amount medical assistance, enterprise supplementary medical insurance and individual supplementary medical insurance.
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That social security card?
There is no money in the bank card account, and if you don't have money, of course there is no money.
But there is money in the social security account, and of course there is no money for this money when you inquire in the bank, and the bank only manages the bank account, regardless of your social security account.
You buy medicine at the pharmacy and brush up on medical insurance, and you have money.
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Well, the money on the medical insurance card is useless, so have you paid the money for this medical insurance card? It shouldn't be that there is no money!
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If you check at an ATM, the method is incorrect. You can swipe it at the designated pharmacy of social security, and you can see the account balance.
Or after using it in the hospital, you can see a detailed account balance breakdown on the invoice.
In addition, if it is a resident medical insurance, there is no account, and there is no account balance.
Otherwise, you can report it to the medical insurance center.
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Health insurance card. The money on the card has never been useful, and now there is no money in the card, probably because there is no money in the medical insurance card.
How to check the balance of the medical insurance card:
1. You can call the unified free consultation **12333 of the local social security center, and then choose self-service inquiry or manual inquiry according to the voice prompts;
2. Go to designated medical institutions in various places.
Or when you swipe the card at a designated retail pharmacy to seek medical treatment or buy drugs, you can check the balance in the medical insurance card;
3. You can go to the counter of the local labor and social security bureau to find a staff to check the balance, or you can use the self-service inquiry machine to inquire.
The health insurance card can be activated in the following ways:
1. Activate directly at the pharmacy: You can bring your ID card after receiving a new medical insurance card.
and the medical insurance card to the nearest medical insurance designated hospital.
or the pharmacy activates and enables a new card;
2. Activate at the bank: In some areas, the medical insurance card needs to be activated at the bank before it can be used, and you can bring the medical insurance card and ID card to the designated bank for activation. Because the medical insurance policies in different regions are not exactly the same, if you don't know the specific activation method, you can also call 12333 for consultation, which is the most accurate.
The process of reporting the loss of the medical insurance card is as follows:
1. Call the medical insurance Zheng Liangxu service **12333 to report the loss. When reporting loss, you should truthfully provide the name of the insured, ID card number, medical insurance card number and unit name;
2. Bring your valid identity documents to the medical insurance center or service point of the neighboring city, district or county to go through the written loss reporting procedures, and stop the settlement of the card within 1 hour after the medical insurance staff confirms the successful operation of the loss report;
3. After reporting the loss within the statutory period, the medical insurance card shall be reissued.
Scope of use of medical insurance card: When insured employees seek medical treatment and purchase drugs in designated hospitals and pharmacies, they can use the card on the POS machine with the password, but they cannot withdraw cash or transfer money.
Medical insurance card transaction inquiry: Insured employees can go to the savings office of Bank of China to print the medical insurance card transaction records with their ID cards and medical guarantees, including the disbursement records and consumption records of personal account funds. If you have any questions about the transaction records, you can go to the Retail Business Department of Bank of China to make inquiries.
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If the money in the medical insurance card is not used in the current year, the money in the medical insurance card can be accumulated in the second year to pay for the medical expenses that meet the regulations. According to the law, the medical insurance for employees is charged at 8% of the individual's salary, of which the individual pays 2% and the unit pays 6%. These account balances in the medical insurance card can be used, such as going to designated medical institutions**, buying medicines, etc., you can directly swipe the medical insurance card.
The part of the money in the medical insurance that will be gone in less than a year refers to the money in the overall planning. The quota is renewed every year. If the limit for this year is 100,000 yuan, and the limit of 100,000 yuan for this year has been fully reimbursed, there is no way to reimburse, so you can only wait until the second year to report.
However, the money in the personal account is accumulated, if it is not used in this year, then it is accumulated to the next year, and the final accumulated total amount is always in the account, and it will not be lost because it is useless for a year. The money in medical insurance is divided into two parts, one is the part of the overall plan, and the other is the part of the personal account. The part of the personal account is the medical insurance card, which can be used to buy medicine or outpatient clinics.
The basis for the destruction of the lawArticle 23 of the Regulations of the People's Republic of China on Basic Medical Insurance for Urban Employees.
Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state.
Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees at the age of age, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.
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Health insurance card. If you run out of money, it will not affect the overall reimbursement of medical insurance, but the self-payment part cannot be paid through the personal account of the medical insurance card.
Taking Zhengzhou as an example, according to Article 25 of the Measures for Basic Medical Insurance for Employees in Zhengzhou City, the overall planning is mainly used to pay for inpatient medical expenses, outpatient medical expenses for prescribed diseases and outpatient medical expenses for serious diseases. The personal account is mainly used to pay for general outpatient services.
If the balance of the personal account is insufficient to pay the medical expenses, drug purchase expenses, and inpatient medical expenses, etc., the excess part shall be borne by the individual. Co-ordination and personal accounts are accounted for separately, and they must not be misappropriated from each other.
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