How to query the details of medical insurance reimbursement

Details of medical insurance reimbursement can be queried in the following ways:

Online inquiry: Log in to the local social security bureau or the official website of the medical insurance bureau, and enter the personal ID number and related information for inquiry.

Telephone enquiry: Call the local social security bureau or the service hotline of the medical insurance bureau to provide personal identification information and related medical insurance account information, and the staff will inform the medical insurance reimbursement details.

On-site inquiry: go to the window of the local social security bureau or medical insurance bureau and carry a valid ID card and medical insurance card for inquiry.

The expenses that can be reimbursed by the medical insurance card include the following categories:

Outpatient fees: including registration fees, inspection fees, inspection fees, laboratory fees, etc.

Hospitalization expenses: including hospitalization deposit, bed fee, operation fee, medicine fee, etc. If hospitalization is required, the medical insurance card can help to reimburse part of the hospitalization expenses.

Medical expenses: the medical insurance card can reimburse some medical expenses.

Special disease expenses: for some special diseases, such as AIDS and tumors.

To sum up, individuals can know their own medical insurance reimbursement details through online inquiry, telephone inquiry or on-site inquiry, and pay attention to the changes of medical insurance policies and the planning of daily expenses in order to better enjoy medical insurance benefits.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 4

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.