The scope of application of medical insurance balance mainly includes the following four aspects:
1. Used for purchasing drugs: when the insured purchases drugs, medical devices, disinfection products, etc. In the designated retail stores of medical insurance, they can pay with medical insurance cards. It should be noted that the maximum purchase amount of medical insurance card every half month is 200 yuan.
2. For seeing a doctor: When the insured is sick, he can register and see a doctor at a designated medical institution with the medical insurance card and medical insurance manual. Outpatient (emergency) medical expenses, medical expenses below the overall fund qifubiaozhun and medical expenses above the overall fund qifubiaozhun and below the maximum payment limit can use medical insurance cards.
The main process is as follows: holding the medical insurance manual and medical insurance card-registering at the hospital medical insurance office-reviewing the card-paying the hospitalization deposit-hospitalization-self-funded projects need the patient's consent and signature-cash or medical insurance card.
3. Used to help relatives pay medical insurance premiums: After signing the payment agreement with the medical insurance management center, the insured can use the funds in the personal account of the medical insurance card to pay the basic medical insurance premiums for urban residents for their relatives, limited to two or less times.
4. Physical examination: The insured can use personal accounts to settle the health examination expenses of designated medical institutions below the municipal level (including the municipal level).
Legal basis: Administrative Measures of the People's Republic of China on Social Security Cards.
Article 2 The term "social security card" as mentioned in these Measures refers to an integrated circuit card issued to the public and mainly used for government social management and public services in the fields of human resources and social security.
The social security card is the electronic certificate for cardholders to enjoy social security and public employment services. It has the basic functions of information recording, information inquiry and business handling.
Article 3 Ministry of Human Resources and Social Security is responsible for managing the issuance and application of national social security cards. Provincial and municipal human resources and social security departments are responsible for the issuance and application management of social security cards in the region, and their subordinate information comprehensive management institutions specifically undertake the related affairs of social security card issuance and technical management.