2, in an insurance year, the local provisions of the medical insurance deductible expenses shall be reimbursed in proportion.
3. When you see a doctor in a hospital in medical insurance coverage, you should submit a medical insurance card to the charging window at the same time when you register for payment, and the current expenses can be reimbursed in real time. After reimbursement, the individual pays his own expenses, and the proportion of reimbursement shall be stipulated by the local social security departments.
4. If you need to seek medical treatment outside the insured place, you must first issue a referral certificate at the local medical insurance hospital. After seeing a doctor in a hospital within the scope of foreign medical insurance, you can go back to the social security department of the insured place for reimbursement.
5. If you can't use the medical insurance card because you don't take it or go to a different place for medical treatment in the emergency department, you need to keep all the receipts and medical certificates for medical treatment and submit them to the social security department for manual reimbursement within the insured year.
Extended data
Social medical insurance card
Social medical insurance card (referred to as medical insurance card or medical insurance card) is a special card for personal account of medical insurance. It takes personal ID card as the identification code, and stores detailed information such as personal ID card number, name, gender, payment, account fund consumption, etc.
The medical insurance card is generally undertaken by the local designated agent bank, which is a kind of multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.
Pay attention to using medical insurance card
1. Cash withdrawal is prohibited.
No unit or individual may violate the scope and requirements of the medical insurance card, and it is strictly forbidden to take cash.
2. Some provincial and municipal medical insurance cards can be used by the whole family.
Starting from the second half of this year, in some provinces and cities such as Zhejiang Province and Guangzhou City, the surplus funds of individual medical insurance accounts over the years can be used to pay the medical insurance expenses of the spouses, children, parents and other close relatives of employees' basic medical insurance participants, so as to realize mutual assistance among family members.
3. The following medical insurance will not be paid.
See a doctor in a non-designated medical institution or buy medicine in a non-designated retail pharmacy (except for emergency);
Self-injury caused by fighting, drug abuse or other illegal acts;
Treatment for alcoholism, suicide, self-mutilation, etc.;
Injuries caused by traffic accidents, medical accidents or other accidents;
And the situation that should be paid by individuals according to national or local regulations.
Baidu encyclopedia-social medical insurance card