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The expenses reimbursed by the medical insurance for employees are given by the unit, right?

Definitely not, it's reimbursed by the National Health Insurance Center.

The unit is just a payer. and employees to pay a pro-rata contribution to the National Social Security Administration.

So there is such a situation, many people do not have a job to pay their own insurance, so who do these people go to for medical insurance reimbursement when they are sick? Who gave this money for reimbursement?

Of course, you can still apply for reimbursement at the local medical insurance center.

China's medical insurance is divided into two parts: personal account and social co-ordination, which are jointly funded by units and individuals according to the prescribed proportion to ensure the basic medical needs of citizens. Among them, the overall ** is used to pay for hospitalization expenses, the personal account is used for outpatient and emergency expenses and the purchase of drugs in designated retail pharmacies, and the expenses that need to be borne by individuals in the expenses of specific items in hospitalization and outpatient clinics are also paid by personal accounts, and if the funds in the personal account are insufficient, they are paid by individuals.

At the same time, the relevant policies of medical insurance also stipulate that the principal and interest of personal accounts belong to individuals, and can be inherited in addition to being used for settlement. The reimbursement ratio and scope of medical insurance vary slightly from place to place, but all use national standards.

The medical insurance reimbursement regulations are basically the same, hospitalization in the insured locality, according to the different proportions of the hospital level is also different (generally required to the county level or above public medical insurance designated medical institutions), but the procedures are the same, when hospitalized, take the hospitalization certificate, medical insurance, go to the hospital medical insurance office to register for admission procedures, pay a certain deposit, you can be hospitalized. When you are hospitalized**, if the cost is too high, you will be asked to pay a deposit, and when you are discharged, you will be discharged from the hospital according to the medical insurance regulations.

If you are hospitalized in other places, the hospitalization expenses will be paid first, and after discharge, the relevant hospitalization information shall be submitted according to the regulations, and the unit shall report to the medical insurance center for reimbursement in proportion.

There are indeed many people who have this problem now, and those who do not have a work unit generally pay by themselves in the place where the labor relationship (file relationship) is located, generally in the talent center or the sub-district office where the household registration is located, that is to say, where you pay the fee, where to reimburse, even if they don't report to you, at least you should know that you can report it! If not, it's best to consult your local social security center!

Legal analysis: The medical expenses of the insured persons who pay the basic medical insurance premiums according to the provisions of the insurance drug list, diagnosis and treatment items, medical service facility standards, and medical expenses such as emergency and rescue shall be paid from the basic medical insurance in accordance with the provisions of the state, and shall not be included in the reimbursement of medical insurance in accordance with some scopes stipulated in the Social Insurance Law of the People's Republic of China.

Legal basis: Social Insurance Law of the People's Republic of China

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

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 department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

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 a third party.

First of all, Mingyan, China's medical insurance in Huai Town does not have a networking function, so it cannot be used in other places, and medical insurance can generally take effect in the first month and the second month, so you can't use it in the current month.

Now the medical insurance is nationwide, and if you get sick in Suzhou, you can be reimbursed for treatment in Hangzhou, so it's no problem.

Summary. Good morning, kiss, good morning<>

Health insurance questions can be consulted in the following ways:1Check with your local community or regional health authority:

Local community or regional health boards have dedicated specialists and staff who can provide you with information and counseling about local health care policies and services. 2.Consult with the Social Insurance Administration:

The Social Insurance Institute has dedicated experts and staff who can provide you with information and advice on health insurance policies and services. 3.Consult with the hospital:

The hospital has dedicated specialists and staff who can provide you with information and counseling on health insurance policies and services. 4.Consult via the web:

There are many professional organizations that can provide you with information and counseling services about health insurance policies and services. Extended information: Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease.

Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation.

Hello to inquire about health insurance.

Hello. Good morning, kiss, good morning<>

Health insurance questions can be consulted in the following ways:1Check with your local community or regional health authority:

Local community or regional health boards have dedicated specialists and staff who can provide you with information and counseling about local health care policies and services. 2.Consult with the Social Insurance Administration:

The Social Insurance Institute has dedicated experts and staff who can provide you with information and advice on health insurance policies and services. 3.Consult with the hospital slag Zheng slag:

The hospital has dedicated specialists and staff who can provide you with information and counseling on health insurance policies and services. 4.Consult via the web:

There are many professional organizations that can provide you with information and counseling services about health insurance policies and services. Extended information: Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease.

Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation.