Using medical insurance card in designated hospitals
1. When you go to a designated hospital for medical treatment, you can show your medical insurance card to prove your enrollment and registration. Individuals do not need to pay first and then reimburse, and can directly settle the medical insurance reimbursement with medical insurance and hospitals. Only when the account is settled can the balance of the medical insurance card or cash be used to pay the self-funded part.
2. There is a deductible for hospitalization reimbursement (the deductible standard is generally 10% of the average annual salary of employees in the city last year), which means that the money above the deductible needs to be paid by itself, and the reimbursement ratio varies from place to place, and different hospitals and different projects are different, about 80%. You can go to the local labor and social security online for details.
Personal recommendation
There is a big difference between residents' social security and employees' social security. You can only choose one of them to participate in insurance. Because the reimbursement rate of social security is larger, many people will choose to pay social security. Generally speaking, employers should abide by relevant laws and regulations and pay relevant insurance for employees in time. If you encounter related problems in your life, you can also directly bring valid documents to the local social security bureau for consultation.
The Tianjin Municipal Bureau of Human Resources and Social Security recently issued the Notice on Optimizing the Management of Personal Accounts of Employees' Medical Insurance, which made it clear that from June this year 10, Tianjin Medical Insurance Card will be used from June 10, and 70% of employees' personal accounts participating in basic medical insurance in that month will be managed by capital injection, and the insured can withdraw it by themselves to compensate the medical expenses and insurance purchase and medical examination expenses borne by individuals. The remaining 30% will continue to implement bookkeeping management, which will be specially used to pay the expenses incurred by the insured in the medical insurance policy.