There are generally three query methods for querying personal account payment details of medical insurance: online query, telephone query, and Social Security Bureau service hall query. The details are as follows: For telephone inquiries, insured persons can call the national unified labor and social security consultation service public welfare telephone number "12333" for consultation, but usually there are more people calling, so it may not necessarily be connected quickly, and insured persons need to be patient. wait. For inquiries at the Service Hall of the Social Security Bureau, insured persons can bring their valid ID and social security card to the local social security center or labor and social security department for consultation. Under normal circumstances, insured persons only need to go to the social security department at the district or county level to check the details of social security payment. 1. Open Alipay, go to the homepage, click on city services, and select social security; 2. After entering social security, click on the electronic social security card and select social security inquiry; 3. Check the balance and details of the medical insurance card, mainly looking at medical insurance account consumption and medical insurance account transfer ; 4. Click on the medical insurance account transfer, you can see the medical insurance card balance and income details; 5. Click on the medical insurance account consumption, you can see the expenditure details, and check the medicines reimbursed by the medical insurance as needed. The drugs reimbursed by the medical insurance are specific, and only the drugs in the medical insurance catalog can be Reimbursement is not available for drugs outside the medical insurance catalog, such as many imported expensive innovative drugs and patented drugs. Therefore, communicate with your doctor before taking medicine. If you want to save money, you should use the medicines in the catalog. If there are some diseases that cannot be treated in designated medical institutions and you want to go to a better hospital for treatment, you must first apply for a referral. Only the referral with complete procedures can be reimbursed; if you do not apply for a referral, it is still equivalent to going to a designated medical institution that you did not choose. institutions, are still often unable to reimburse. There are often differences in the reimbursement ratio. Generally speaking, the higher the hospital level, the lower the reimbursement ratio.
Legal basis: Article 2 of the "Social Insurance Law of the People's Republic of China" The state establishes basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance and other social insurance systems to protect citizens in The right to obtain material assistance from the state and society in accordance with the law in the event of old age, illness, work injury, unemployment, childbirth, etc. Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical insurance and basic medical insurance for urban residents shall be implemented in accordance with national regulations. Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.