Shanghai Jiading Medical Insurance Affairs Center is located at No.70 Bole Road, Jiading District, Shanghai, the economic and financial center of China. Mainly responsible for the settlement and disbursement of medical expenses and the management of personal accounts of basic medical insurance. It was incorporated in Shanghai Industrial and Commercial Bureau on June 5+February 0, 2000.
The role of medical insurance:
Medical insurance is insurance to compensate medical expenses caused by diseases. Social insurance in which employees are provided with necessary medical services or material assistance by society or enterprises due to illness, injury or childbirth. For example, free medical care and labor insurance medical care in China. The medical expenses of employees in China are shared by the state, units and individuals to reduce the burden on enterprises and avoid waste. Insurance liability accidents need to be handled, and the insurance money will be paid in proportion.
Medical insurance is a "pay-as-you-go" system, that is, using the current money to see the current illness, and requiring the current fund to be balanced. The overall fund is used for mutual assistance, and those who are not insured in the current period cannot enjoy the treatment, otherwise it will harm the interests of all insured persons.
How to reimburse medical insurance:
Patients with medical insurance for urban workers do not need to go to the social security center for reimbursement. Social security registration formalities shall be handled with the ID card at the time of admission, and discharge settlement formalities shall be handled with the admission registration form and ID card at the time of discharge.
The reimbursement process of urban residents' medical insurance hospitalization, the insured person directly handles the settlement in the medical insurance office established in the hospital with his ID card, and the reimbursement ratio varies according to the hospital level and local policies;
The reimbursement for hospitalization of the new rural cooperative medical system is similar to that of urban residents' medical insurance. When the insured person is admitted to the hospital, he/she will go through the admission formalities at the hospitalization expense office of the hospital with his/her ID card and doctor's arrangement. _ ≡≡≡≡≡≡≡≡≡≡≡≡≡88888The bonus is 0. Let's make sure that the meat is cooked.
What is the impact of breaking medical insurance?
1. Medical insurance benefits will cease to be enjoyed from the month following the interruption.
2. No personal account will be transferred during the break-off.
3. The break-off period is not included in the actual payment period of medical insurance.
4. Those who break off diplomatic relations for more than three months or interrupt payment within three months but do not choose to interrupt payment will be insured again as individuals, with a six-month waiting period for medical treatment.
Within 24 months of re-insurance, the maximum amount of treatment paid by the overall fund is 50% of the medical insurance benefits of the insured persons of the basic medical insurance for normal employees in our city.