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Supplementary medical care is a voluntary participation of employers and individuals compared to basic medical care. After the basic medical care of the unit and the employee has been handled, the unit or individual shall appropriately increase the medical insurance items according to the needs.
Complementary medical care covers corporate supplementary medical care, commercial medical care, social mutual aid and community medical care, etc., which is worthy of being a powerful supplement to basic medical care. Like social security and commercial insurance, they are also complementary to each other, I won't say much here, if you are interested, you can click here:"If you have social security, you don't need to buy commercial insurance, right?
The difference between social security and commercial insurance is **
1.We pay for supplementary medical care once a year, you can pay this year, not next yearIt can only be reimbursed in the year in which it is paid, and it cannot be reimbursed if it is not paid.
2.Ordinary medical purchases can be reimbursed through supplementary medical careMedical reimbursement is not reimbursed until three days of hospitalization.
3.Complementary medical care has a certain scope of reimbursementChildbirth, plastic surgery, etc. are not reimbursed, generally half of which is paid by the company and half by yourself.
4.Friends who have paid for supplementary medical care before,Medical records, lists, and invoices should be taken at the time of medical visits. It is necessary to take the medical records and lists to be stamped and invoices to be reimbursed, and all three are indispensable.
5.Then bring your medical records, lists, and invoices to the Human Resources Department for reimbursementBe sure to fill in the relevant ** and provide the bank card number, and the reimbursement will be received in about a month.
In order to give you a more comprehensive understanding, I have also sorted out the issues related to medical insurance reimbursement for referenceUnder what circumstances can medical insurance not be reimbursed? 》
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Medical supplementary insurance is a supplement to social security, and the remaining will be reported after the social security reimbursement is completed, which is divided into outpatient and inpatient, which can be paid alone or at the same time. However, the reimbursement scope is for drugs within the scope of national social insurance.
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It depends on what kind of medical insurance the company is paying. The medical supplementary products of general commercial insurance companies are both those that are supplemented within the scope of social insurance and those that are not covered by supplementary social insurance. If the latter is the case, the part below the 1800 threshold may also be reimbursed.
For the specific situation, it is recommended to consult the relevant departments of the company to be clearer.
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If the social security does not report to you, it will be reimbursed with supplementary medical care if it is covered by medical insurance.
Now it's all social security cards, and the rest of the vouchers, plus the diagnosis certificate, are just given to the insurance company.
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The outpatient reimbursement for in-service employees, the original starting line is 1,800 yuan, and the threshold is lowered, which is great news for employees. In addition, 70% of the expenses incurred by in-service employees in community medical institutions are reimbursed.
Limitations: 1Medical insurance is divided into two accounts, personal account, the money embodied in the medical insurance card, can be used to buy drugs in designated pharmacies, the payment of outpatient expenses and the payment of the self-paid part of hospitalization expenses; The pooled account is managed by the medical insurance center, and the expenses incurred by the insured persons in line with the local medical insurance reimbursement are paid by the pooled account.
2.At the time of medical treatment, show the medical insurance card to the designated hospital to prove the identity of the insurance, at the time of checkout, the part paid by the individual is paid by himself with the medical insurance card or cash, and the part of the medical insurance reimbursement is settled by the medical insurance and the hospital, and the individual does not need to pay first and then reimburse the unit to pay the current month of the insurance effective next month, and the individual can only use it after half a year of payment.
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