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Legal Analysis: No. You can swipe your family's health insurance card in the following situations:
The outpatient medical expenses and inpatient medical expenses incurred by the insured and their family members in the designated medical institutions shall be paid by the individual according to the provisions (including the self-paid part of the medical expenses beyond the scope of basic medical insurance, the scope of diagnosis and treatment items, and the scope of medical service facilities), and the expenses for special examinations and special expenses that should be borne by the individual during outpatient or hospitalization. The cost of purchasing drugs at designated retail pharmacies, the cost of purchasing health foods such as "National Food and Health Brand" and "Wei Food Health Brand", the purchase of sanitized products such as "Wei Jian Zi Brand" and "Wei Jian Quasi Brand" (such as ** lotion, etc.), as well as medical devices such as "Food and Drug Supervision Equipment (Enter) Brand", "Food and Drug Supervision Equipment (Quasi) Number", "Food and Drug Supervision Equipment (Xu) Number" and other medical devices. The insured and his or her family members purchase and inject vaccines for disease prevention in designated medical institutions (such as hepatitis B vaccine, rabies vaccine, tuberculosis vaccine, influenza vaccine, etc., except for free of charge according to regulations); Medical expenses incurred in health check-ups, prosthetics, prosthetic eyes and other artificial prostheses, and non-functional orthodontic treatment in designated medical institutions.
Legal basis: Social Insurance Law of the People's Republic of China
Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.
Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
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 **.
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No. You can swipe your family's health insurance card in the following situations:
The outpatient medical expenses and inpatient medical expenses incurred by the insured and their family members in the designated medical institutions shall be paid by the individual according to the provisions (including the self-paid part of the medical expenses beyond the scope of basic medical insurance, the scope of diagnosis and treatment items, and the scope of medical service facilities), and the expenses for special examinations and special expenses that should be borne by the individual during outpatient or hospitalization.
The cost of purchasing drugs at designated retail pharmacies, the cost of purchasing health foods such as "National Food and Health Brand" and "Wei Food Health Brand", the purchase of sanitized products such as "Wei Jian Zi Brand" and "Wei Jian Quasi Brand" (such as ** lotion, etc.), as well as medical devices such as "Food and Drug Supervision Equipment (Enter) Brand", "Food and Drug Supervision Equipment (Quasi) Number", "Food and Drug Supervision Equipment (Xu) Number" and other medical devices.
The insured and his or her family members purchase and inject vaccines for disease prevention in designated medical institutions (such as hepatitis B vaccine, rabies vaccine, tuberculosis vaccine, influenza vaccine, etc., except for free of charge according to regulations); Medical expenses incurred in health check-ups, prosthetics, prosthetic eyes and other artificial prostheses, and non-functional orthodontic treatment in designated medical institutions.
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"The medical insurance card is divided into two accounts, namely the personal account and the overall account, among them, the money in the personal account of the medical insurance card, in the place where the medical insurance family mutual aid has been implemented, can be shared with the family to use the money of the personal account over the years, that is, if you want to buy medicine for your parents in designated medical institutions, see general outpatient clinics, etc., you can use the balance of the personal account of the medical insurance card over the years to pay by card; However, the medical insurance card account cannot be shared with family members, for example, the hospitalization medical expenses incurred by the parents who are sick and hospitalized cannot be reimbursed by the children's medical insurance card pooled account. ”
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No. You can swipe your family's health insurance card in the following situations:
The outpatient medical expenses and inpatient medical expenses incurred by the insured and their family members in the designated medical institutions shall be paid by the individual according to the provisions (including the self-paid part of the medical expenses beyond the scope of basic medical insurance, the scope of diagnosis and treatment items, and the scope of medical service facilities), and the expenses for special examinations and special expenses that should be borne by the individual during outpatient or hospitalization.
The cost of purchasing drugs at designated retail pharmacies, the cost of purchasing health foods such as "National Food and Health Brand" and "Wei Food Health Brand", the purchase of sanitized products such as "Wei Jian Zi Brand" and "Wei Jian Quasi Brand" (such as ** lotion, etc.), as well as medical devices such as "Food and Drug Supervision Equipment (Enter) Brand", "Food and Drug Supervision Equipment (Quasi) Number", "Food and Drug Supervision Equipment (Xu) Number" and other medical devices.
The insured and his or her family members purchase and inject vaccines for disease prevention in designated medical institutions (such as hepatitis B vaccine, rabies vaccine, tuberculosis vaccine, influenza vaccine, etc., except for free of charge according to regulations); Medical expenses incurred in health check-ups, prosthetics, prosthetic eyes and other artificial prostheses, and non-functional orthodontic treatment in designated medical institutions.
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According to the relevant laws and regulations, we know that the medical insurance card cannot be lent to others, so can the medical insurance card be used by the family? This is a case-by-case scenario, so the court's decision is reasonable and legitimate, and the public's panic and surprise are only due to a lack of legal knowledge.
1. Medical insurance is divided into two parts: personal account and overall planning. The personal account is used to pay for the medical expenses incurred by the individual in outpatient, special diseases and hospitalization**, etc., and can also be used to pay for the expenses incurred in the purchase of drugs in designated retail pharmacies according to the regulations; Personal account balances can be carried forward and inherited in accordance with the law. The medical insurance co-ordination ** belongs to all insured persons, which is managed by the social insurance agency in a unified manner, and is mainly used to pay for general outpatient medical expenses, inpatient medical expenses and outpatient medical expenses for special diseases according to regulations.
2. In other words, the money in your personal account is still your money. But! The money in the medical insurance co-ordination belongs to every medical insurance policyholder, and its purpose is to share the risk of disease through mutual assistance between social groups within a certain region, solve the medical expenses of employees when they suffer from serious illnesses, and it is also the last life-saving money for all of us!
Therefore, when the personal balance in your social security card is insufficient and you need to use the money of this overall plan for reimbursement, if someone fraudulently uses your social security card for reimbursement at this time, then this person is not only stealing yours, but also everyone's last life-saving money!
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The medical insurance card cannot be lent to others for use, and lending the medical insurance card to others undermines the fairness of the medical insurance system, and lending the medical insurance card to others for reimbursement of hospitalization is a fraud insurance, and if the circumstances are serious, you will face criminal penalties. In addition, when buying commercial insurance, there are hidden dangers, which not only affect the insurance, but also may be denied compensation because of medical history.
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The medical insurance card is one of the vouchers that the insured person should enjoy medical insurance, and in principle, it is limited to the insured person's own use. The money in the medical insurance account belongs to the individual. If you use someone else's medical insurance card for hospitalization reimbursement, it is insurance fraud.
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Family members can use their health insurance card to see a doctor, but they cannot be reimbursed.
The personal medical insurance account can be used to pay for the medical expenses borne by the insured person, his or her spouse, parents and children in designated medical institutions. It means that the money in the personal medical insurance account can be paid by the family when they see a doctor in a designated hospital or a designated pharmacy, but the personal medical insurance cannot be reimbursed for the family's medical treatment.
The medical insurance card or the national medical insurance electronic voucher has the name, gender, ID number, **, social security number and other information of each of our insureds, and the implementation of "one person, one card", and the same ID card, only the use of one's real name, must be "special card exclusive". Insured persons should hold their old medical insurance card or medical insurance electronic voucher to seek medical treatment and purchase drugs in their real name, and properly keep their medical insurance card to prevent others from using it in their names. Lending one's medical insurance card to another person for medical treatment or using another person's medical insurance card to seek medical treatment in a fraudulent name is an act of fraud and insurance fraud.
Precautions for the use of medical insurance cards
1. The medical insurance card should be properly kept, and should not be bent, folded, or carved, and should not touch magnetic objects (such as televisions, stereos, magnetic buckles, etc.).
2. The medical insurance card is only for the use of the insured person, and shall not be lent, fraudulently used, altered or forged.
3. When the medical insurance card cannot be used due to the failure of the equipment of the designated medical institution or designated pharmacy, the medical expenses shall be paid by the individual in cash first, and after the troubleshooting, the medical institution or pharmacy where the equipment failure occurred shall be re-settled according to the regulations.
4. If the insured terminates the medical insurance relationship due to going abroad (exiting) and settling down in the city, transferring out of the city due to the medical insurance relationship, or death, the insured or his family members shall return the medical insurance card to the city, district and county medical insurance center or service point for cancellation.
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You can only use your health insurance card if you have a health insurance card. If you can't lend it to others, if you are investigated and punished, the trouble will be great, and the gains outweigh the losses. However, some cities have also opened interoperability, so it is recommended to consult with the local social security bureau before using it.
Using someone else's medical insurance card to see a doctor or buy medicine is an act of insurance fraud, which has violated laws and regulations, and the person who cheats insurance may have to bear legal liability in this case.
In some cases, the money in the personal account is counted as your own money, which can be withdrawn directly or go to the pharmacy to buy medicine, but the money in the overall account is paid jointly by all medical insurance people, so that the group can help each other to share the risk of disease. If you don't pay medical insurance, you are not eligible to use the money, and it is illegal to use someone else's medical insurance card for medical treatment.
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Medical insurance can only be used by oneself, other du
People are not allowed to use zhi, and they cannot use the medical insurance card to reimburse the medical expenses of the DAO family, because the medical insurance reimbursement is only for personal use.
Medical insurance is divided into individual accounts and pooled accounts, and the money in the pooled account is paid jointly by all medical insurers, with the purpose of allowing groups to help each other and share the risk of disease. If you do not pay medical insurance, you are not eligible to use the money, and it is illegal to use someone else's medical insurance card for medical treatment.
However, in some cases, the money in the personal account is counted as your own money, which can be withdrawn directly or go to the pharmacy to buy medicine.
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Social Security Card is.
You can't give a copy to your family
Because the social security card is only used by the insured person, once the social security card of others is used, it is an act of theft, and this behavior will cause serious consequences, and the circumstances may be investigated for criminal responsibility.
Although social security cards cannot be used directly, there are also regions that have introduced relevant policies.
For example, in some places, it is possible to transfer the balance of funds in your account to the account of your close relatives.
In some places, a "family channel" has been opened, allowing the balance in the personal account to exceed a certain percentage of the average annual salary of local employees in the previous year to parents, children or spouses who are also insured by local medical insurance, which can be used to pay for designated medical expenses.
This answer is provided by Compo Finance, which focuses on the interpretation of financial hot events, the popularization of financial knowledge, adheres to professionalism, pursues fun, makes financial content that people can understand, and conveys financial value in a vivid and diverse way. I hope you find this answer helpful.
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In principle, the social security card can only be used by the person, and it is illegal to borrow it. But as long as it is not a hospitalization**, it is just a doctor, and there is a balance in the card, it is still okay to pay with the balance in the card.
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The medical insurance card is a personal disease carried out in China in order to solve the problem of difficult and expensive medical treatment for the masses.
The medical card needs to be paid by the individual 20% and the state pays 80% of the medical expenses. The medical insurance card is only for individuals, not families. In other words, your own medical insurance card cannot be used to see a doctor for your family, and if you use your medical insurance card to see a doctor for your family, it is illegal and illegal.
In actual life, some pharmacies and small hospitals, in order to earn economic benefits, turn a blind eye to the illegal use of medical insurance cards during the sale of drugs or diseases, and do not strictly follow the regulations on the use of medical insurance cards, resulting in the illegal use of medical insurance cards.
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It's better not to!! That is the voucher of their own medical treatment, and it will all enter the big data.
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You can pay for your family's medical treatment. Because the money in the card is yours, you can choose to use it or not, and you can also choose who to use it, as long as you can swipe your health insurance card in that place.
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If it is an urban hukou, it must not be, you can only use it yourself, but the rural cooperative medical care is to open a card in the name of the head of the household, and then the members of the hukou can use this card together, I don't know what kind of medical insurance card you are.
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Your own medical insurance card cannot be used to see a doctor for others, and the four names and addresses are different.
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Yes, the insured person must meet three conditions at the same time to pay for the expenses incurred by close relatives with the money accumulated in the medical insurance card over the years: 1The balance of funds in the personal account over the years exceeds 6,000 yuan; 2.
The total amount of fees to be paid is more than 2,000 yuan; 3.After payment, the balance of funds in the personal account over the years shall not be less than 3,000 yuan.
If the insured person pays the expenses incurred by his or her close relatives from the balance of his personal account over the years, he or she shall apply to the medical insurance agency in the place of insurance with relevant supporting materials, such as household registration booklet, marriage certificate, etc., medical insurance card, original vouchers of hospital charges, lists and medical records. (Meow Meow Bao).
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