Citizen card (Changzhou social security citizen card) is an electronic real-name ic (integrated circuit) card issued by Changzhou municipal government to citizens for handling personal social affairs and enjoying social services. The main application fields of citizen card include the following three aspects: First, government public services. Citizen card has social security functions such as pension, medical care, unemployment, work injury and maternity insurance. In the future, other government services will be gradually increased, such as residents' health records, provident fund inquiries, and subsistence allowances. The second is the function of electronic wallet. Citizen cards can be used on public transport. In the future, it will be extended to taxi, telephone bill, garden tourism, catering, library, parking and many other fields. The third is the application of financial services. Citizen card has the function of ordinary bank debit card, and can complete services such as deposit and withdrawal, consumption and transfer. After the citizen card is issued, it will gradually replace the medical insurance card and become an essential IC card for citizens to enjoy social public services.
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1. Card Center can provide the applicant with relevant information such as instructions for using the card through service outlets, networks, notices, etc. To facilitate the correct use of the citizen card by the applicant. 2. The applicant guarantees that the citizen card will be used for legal purposes, and all activities of using the citizen card are permitted by law. 3. The applicant can take the citizen card to the designated medical insurance hospital for medical treatment or purchase medicine at the designated medical insurance pharmacy; You can use the citizen card to handle personal related affairs and public application services; Citizen cards can be used in public transportation, daily consumer services and other fields. 4. The applicant can set the bank password at the counter of the cooperative bank with the citizen card to open the bank account function. A hospital, deducted 5%; Second-level hospital, deduct10%; Three hospitals, deducted 20%; After excluding "non-medical insurance drugs" and "other expenses not covered by medical insurance", the remaining employees will be reported at 80%, and the retired or unemployed will be reported at 50%, that is, (total amount-deducted expenses-expenses not covered by medical insurance).
Medical reimbursement: outpatient medical insurance card is used to see a doctor in outpatient department, and it is settled in real time. No reimbursement is required. If there is no medical insurance card for outpatient service, please use the Beijing Medical Insurance Manual (medical blueprint).
Reimbursement scope: general outpatient and emergency expenses incurred by the insured in designated hospitals or specialized hospitals, Chinese medicine hospitals and 3A hospitals selected by the insured.
Outpatient deductible: the total emergency expenses in a natural year exceed 1800 yuan; Reimbursement ratio: 70% for the hospital, 90% for the community, and 20,000 yuan for the capping line.
Required materials: original ID card; Original medical diagnosis certificate; Original medical data such as outpatient medical records, examination and test results reports; Original receipt of general outpatient and emergency charges, detailed list of outpatient expenses or original prescription (the prescription is attached to the receipt by date).
Submission time: every month 1- 10 days, the current month's expenses shall be submitted the next month, and the current year's expenses shall be submitted before the following year 1 month; Handling process: If the accumulated threshold is exceeded in a natural year, the unit manager will input all the documents into the enterprise software and report the generated electronic information and statements to the medical insurance center, which will complete the review, settlement and payment of reimbursement expenses within 30 working days.