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干货!明年医保卡又多了这些新用途

2016-12-28 18:55:15   人民日报

几乎人人都有医保卡,身体出个小毛病,最常用的就是它。但是你知道吗,医保卡除了买药、看病,又增加了好多新用途!下面就一起来看看吧,你肯定用得上!

温馨提示:医保原则上是实行地市级统筹,因此全国各地的规定会不同,要按照当地的具体情况来看。

一、医保卡的主要用途

1、医保最主要的用途就是门诊看病付钱。

2、医保还有其他用处,可以用这些钱在定点药店买药(非处方药物),医疗器械,体温计和血压仪等这些辅助检查设备。

二、医保卡账户里的钱怎么用

大家都知道,职工医保一般分为个人账户和统筹账户,这二者分别怎么使用呢?

个人账户可支付以下费用:

1、定点零售药店购药费用,门诊、急诊医疗费用;

2、用于本人购买商业保险、意外伤害保险等;

3、基本医疗保险统筹基金起付标准以下的医疗费;

4、超过基本医疗保险统筹基金起付标准,按照比例承担个人应付费用;

5、个人账户不足支付部分时由本人支付。

统筹账户主要支付以下费用:

1、住院治疗的医疗费;

2、恶性肿瘤放射治疗、肾透析、肾移植后服抗排异药的门诊医疗费;

3、急诊抢救后收入住院治疗的病人,其住院前留观七日内的医疗费用。

三、医保报销范围

1、医保卡的报销是只限于在指定医院因疾病和部分意外所造成的住院以上的医疗费用。

报销公式为:(总费用-门槛费-自费-超支费用)*(75+年龄*0.2)%,正常情况下,实际报销比例在20~60%不等。

自费药是不予报销的,乙类药品报销80%,床位费有限额,按规定的一些检查费和诊疗费也不能报销。

2、医保卡的报销额度是当地社会职工平均工资的4倍(1年内的累计值)。

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