1, call 12333 for enquiry;
2. Log in to the municipal human resources and social security network for online inquiry;
3. Bring the original personal ID card and social security card to the window of the local social security agency;
4. Employers and individuals have the right to inquire about payment records and require social insurance agencies to provide social insurance consulting and other related services.
Rules for the use of employee medical insurance:
1, eligibility for insurance: employees must work or have a fixed work unit, and both units and employees pay medical insurance premiums according to the prescribed proportion;
2. payment base: usually based on the salary income of employees, medical insurance premiums are paid according to a certain proportion;
3. Reimbursement scope: including outpatient expenses, hospitalization expenses and medicine expenses. , but the specific reimbursement ratio and scope will be different according to regional policies;
4. Designated medical institutions: When employees use medical insurance, they need to seek medical treatment in designated medical institutions designated by the government and enjoy medical insurance benefits;
5. Personal account: There is usually a personal account in employee medical insurance, which is used to store personal contributions and can be used to pay general medical expenses;
6. Referral system: Referral system is implemented in some areas, that is, when employees need hospitalization, they need to go to primary medical institutions first, and then they can be transferred to large hospitals after diagnosis;
7. Medical treatment in different places: For employees who seek medical treatment in different places, they need to go through medical treatment procedures in different places in accordance with the prescribed procedures in order to enjoy medical insurance benefits in different places;
8. Annual settlement: Employee medical insurance is usually settled on an annual basis, and expenses beyond the scope of personal account payment can be reimbursed at the annual settlement.
To sum up, employees can call 12333, log in to the human resources and social security network, and bring their identity certificate and social security card to the window of social security agencies to inquire about their medical insurance, and ask social security agencies to provide relevant services.
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. Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.