What is the inquiry method and reimbursement scope of employee medical insurance?

Medical insurance for employees, like industrial injury insurance, endowment insurance, unemployment insurance and maternity insurance, is the basic insurance item of social insurance. It is a basic model enforced by laws and regulations, social pooling of medical funds and individual medical accounts. The inquiry method and reimbursement scope of employee medical insurance are the key contents of this paper.

The "Enjoy Your Health" critical illness insurance plan covers 30 inquiry methods for cancer in situ and employee critical illness medical insurance.

What are the inquiry methods of employee medical insurance? There are many ways! First of all, you can choose to check online, log in to ireadplus.com, and you can see the address list for checking the balance of medical insurance cards around the country. Click to enter the relevant city, enter personal ID number, password or medical insurance card and other related information, and you can query employee medical insurance. For the strategy of medical insurance reimbursement, I just sorted out the relevant contents, hoping to help you: how to use social security medical insurance? 1. Teach you how to apply for reimbursement!

In addition to online inquiries, you can also make telephone inquiries. The telephone number of medical insurance card inquiry is the area code plus 12333. This phone number can not only check the balance of medical insurance card, but also check the handling, payment and transfer of medical insurance in designated hospitals.

You can also apply for inquiry at the lobby window of the local social security bureau. To inquire at the window, you need to bring personal identification materials and medical insurance cards.

Reimbursement scope of employee medical insurance

First, the basic insurance does not pay the cost of the scope of medical treatment projects.

(1) service items

1, registration fee, out-of-hospital consultation fee, medical record fee, etc.

2. Special medical services such as visiting fees, urgent fees for examination and treatment (except for emergency), surcharge for roll call operation, high quality and good price, and special care by oneself.

(2) Non-disease treatment projects

1, various beauty (life beauty, medical beauty) bodybuilding projects and disorderly non-functional plastic surgery, orthopedic surgery, etc. ;

2, a variety of weight loss, weight gain, increase the project.

3. Various health checks.

4, all kinds of prevention and health care projects.

5, tooth deformity, tooth porcelain.

6, all kinds of medical consultation (excluding psychiatric consultation), medical appraisal.

(3) Diagnostic equipment and medical materials.

1, a project for examination and treatment with large medical equipment such as positron emission tomography, electron beam CT and ophthalmic excimer laser therapeutic apparatus.

2, glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation equipment.

3, all kinds of self-use health care, massage, rehabilitation and treatment equipment.

(4) Treatment items

1, the organ source or tissue source of various organ transplants or tissue transplants;

2. Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow.

3. Orthopedic surgery for myopia

4, Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects.

Medical insurance for employees is the general name of public medical care and labor insurance medical care established in the early 1950s in China. It is an important part of the national social security system and one of the important items of social insurance. Medical insurance has the basic characteristics of social insurance, such as compulsion, mutual assistance and sociality. Medical insurance premiums are paid by medical insurance institutions to solve medical risks caused by illness or injury of employees. Paying attention to employees' medical insurance is also concerned about their own interests, and the inquiry method and reimbursement scope of employees' medical insurance are also issues that people need to care about.

The "Le Kang Worry-Free" refundable hospitalization medical insurance scheme has dual functions of insurance protection and premium refund.