The insured place and the payment place are inconsistent. Can medical insurance be reimbursed normally?
The inconsistency between the social security payment place and the card office will not affect the reimbursement.
Social security includes medical insurance, and medical insurance is also medical insurance. Social security and medical care cannot be paid in different places.
Where is the medical insurance place? The insured place is the household registration place, and the retirement place is naturally the household registration place.
If the insured place is inconsistent with the household registration place, the place shall be determined according to the city where the payment is full 10.
Hospitalization reimbursement is medical insurance, so it can be reimbursed at the place where medical insurance is located. Social security is the general name of our five insurances, that is, social security includes medical insurance.
What should I do if the medical insurance participation place is inconsistent with the payment place? In this case, I need to go to the local medical insurance agency to go through the formalities for changing the insured place. Or apply for social security transfer at the social security window of the insured place or apply for a new card at the current insured place.
1. The medical insurance is divided into two accounts, the personal account, and the money reflected by the medical insurance card can be used to buy medicines at designated pharmacies, and the individual pays for outpatient expenses and hospitalization expenses; The overall account is managed by the medical insurance center, and the expenses incurred by the insured who meet the local medical insurance reimbursement are paid by the overall account. 2. When seeing a doctor, show the medical insurance card to the designated hospital to prove the identity of the insured. At the time of checkout, the part paid by the individual is paid by himself with medical insurance card or cash, and the part reimbursed by medical insurance is settled by medical insurance and hospital, and the individual does not need to pay first and then reimburse. 3. There is a deductible when reimbursing in the hospital, which means that the money on the deductible needs to be paid by yourself.
Author: 5 1 social security
Link: /question/379568950/ answer/1679 52 1208.
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Most of the payment principles of five insurances and one gold belong to localized management, that is, where we pay the fees, the city where we finally enjoy the treatment is located.
Therefore, if the place of payment is different from the place of work, the impact will be greater:
1, endowment insurance
According to the relevant laws and regulations of our country, the choice of retirement place is the place where the pension insurance payment period exceeds 10 years, the place where the household registration is located, and the place where the unpaid pension insurance period exceeds 10 years. You can transfer the old-age insurance to the place with the longest payment period.
The basic pension in the pension consists of the average monthly salary of employees in the whole province last year. If the social average wage in the social security payment place is much lower than that in the work place, the pension will be much less.
2. Medical insurance
The rights and interests of our social security card belong to the place where social security is paid. When we need the social security card to buy medicine, register and check at work, we may not need it. If you are hospitalized in your work unit, you need to go to the social security payment place to go through the settlement procedures for medical treatment in different places. If you are hospitalized in your work unit, you can enjoy the treatment of real-time settlement in the hospital, or you need to pay your own medical expenses and go back to the social security payment place for reimbursement. Besides,
Because the balance in the medical insurance account must go to the insured place to be used normally, it is also more troublesome.
3. Maternity leave/work injury
When giving birth, you must enjoy the medical expenses, hospitalization expenses, operation expenses and maternity allowance reimbursed by the maternity fund, and you must return to the place where social security is paid, and the same is true for work-related injuries. Birth can also be prepared in advance, but work-related injuries are urgent and troublesome.
4. Reserve fund
If you want to buy a house in your work unit, the payment will be inconsistent, and the provident fund will become a different place. It is more difficult to apply for provident fund loans in different places, and it is necessary to open various certificates and go through various procedures.
Coupled with the purchase restriction policy in many regions, there is a threshold for children to go to school when buying a car and buying a car. Most insurance policies have a social security tax payment period. If it is paid in different places, it will cause a lot of inconvenience.
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