It is related to everyone's follow-up medical reimbursement and old-age medical security.
Now it is 2022, and the new medical insurance regulations are introduced, involving six expenses that cannot be reimbursed.
First, the health care products purchased are not within the scope of reimbursement.
Now people's living standards have been greatly improved, and they have some savings in their hands. Therefore, many people pay more and more attention to their own health care, and the health care market that emerged at the historic moment also rose instantly and spread all over the country.
However, it should be noted that health care products are not within the scope of medical insurance reimbursement, which belongs to self-care consumption, and medical insurance reimbursement can only be applied to medical medication and treatment.
One belongs to health care and the other belongs to treatment. There is an essential difference between the two.
Two, go abroad to see a doctor's medical expenses will not be reimbursed.
Nowadays, with the improvement of people's living standards, traveling abroad and applying for visas have also achieved a fast and time-saving mode.
So some rich people want to go abroad to see a doctor, or some children are abroad and need their parents to accompany them, so there are many cases of going abroad to see a doctor.
But they may still think that they can reimburse their medical expenses after returning home. Remember that this idea doesn't work, and it's meaningless to ask them to go back to China for reimbursement.
Three, outside medical insurance coverage will not be reimbursed.
With the continuous development of medical insurance and the continuous reform and adjustment of the country, the scope of medical insurance reimbursement has gradually widened a lot, and the proportion of reimbursement has also increased significantly, with obvious examples.
It's reimbursement for chronic diseases, which is good for people with chronic diseases.
Such as diabetes and hypertension. It has been included in the reimbursement. Of course, not all drugs are included in the reimbursement. Therefore, when you buy drugs or need reimbursement, you still need to find out whether there are drugs that are not within the scope of reimbursement, so that you can make your own budget.
Four, work-related injury insurance will not be reimbursed.
In fact, work-related injuries are not reimbursed, but are reimbursed by a third party-borne by the employer.
Once there is a work-related injury, it will be directly transferred to the employer.
However, there is another situation that needs attention, that is, the delineation of work-related injuries.
According to the national regulations, as long as accidental injuries occur on the way to work, at work and after work, they all belong to the scope of industrial injury claims.
However, in one case, claims for work-related injuries cannot be divided.
On the way to work, if you don't go home directly, but go somewhere to play or do other things, once an accidental injury occurs, it is not a work-related injury, that is, it is not reimbursed, because it is not within the scope of work-related injury claims.
Everyone must pay attention to this.
I remember a colleague was invited to drink by a friend on his way from work and was hit by a car. This time, it was not classified as a work-related injury, because he didn't go home directly after work, but went to see his friends, so the unit where he worked did not bear any responsibility for the accident.
Verb (abbreviation of verb) public health expenditure
Seeing this, you should know that it is a public welfare undertaking to provide physical examination for ordinary people free of charge, so the expenses arising from physical examination should not be borne by medical insurance, but by relevant departments.
For example, every time we do routine nucleic acid examination, we get free nucleic acid vaccine.
In fact, all this costs a lot of money, but in order to reduce the pressure of our lives and let us live a happier life, the state directly bears this burden.
Six, the medical expenses borne by the third party are not within the scope of medical insurance reimbursement.
Generally, such a situation belongs to the reimbursement scope of commercial insurance purchased by individuals.
We all know that in addition to social security and medical insurance, we can also apply for commercial insurance.
Once all expenses within the scope of commercial insurance reimbursement appear, medical insurance will not be reimbursed.
Seven, there are some small details to pay attention to.
1. Don't borrow or rent.
This is not allowed. Once a similar situation is found, it will be severely punished.
It is common for us to lose our cards and keys.
But the medical insurance card contains a lot of our personal information and a lot of medical insurance expenses, and most of us only use the medical insurance card when buying medicine or seeing a doctor.
So I don't care much about the setting of the medical insurance card password, which gives some people with bad intentions an opportunity.
Therefore, the state requires that when using a medical insurance card to swipe your card, you should bring your ID card.
The purpose is to prevent being impersonated by others.
Summary:
Insurance, medical insurance card, reimbursement and receiving pension are topics that we can't escape. After all, these are directly related to our quality of life and the follow-up old-age security. It is still useful to know more about the scope of reimbursement.