持卡就医该怎么做？
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 16pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">持卡就医该怎么做</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 16pt"><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></B></P><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">门诊报销起付线是多少？还有定点医院的限制吗？忘带社保卡该怎么报销？</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt; COLOR: red"><o:p></o:p></SPAN></B></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">北京市社保卡从去年</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">7</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">月试点后，迄今全市共发放</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">550</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">万张。目前，本市已开通了</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">1202</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">家定点医疗机构，预计</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">6</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">月底前将完成所有参保人员所有社保卡的发放，共开通</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">1800</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">家定点医疗机构，实现社保卡的全覆盖。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：“蓝本”向社保卡过渡时，门诊报销起付线如何算？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：全年无论是持卡看病，现金垫付后再去报销，门诊报销就一个起付线：在职工全年</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">1800</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">元，退休人员</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">1300</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">元。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="COLOR: red; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">“一老”的门诊起付线是多少？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="COLOR: green; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答</SPAN><SPAN style="COLOR: lime; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">：</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">目前是</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">200</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">元，没有变化。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：档案在职介中心自上保险，门诊报销起付线应该是多少？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：在职介中心存档人员的报销比例和报销办法，持卡就医后仍然不变。存档人员门诊医疗费用和在职职工一样，都是</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">1800</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">元。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：使用社保卡就诊还受定点医院的限制吗？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：使用社保卡只是改变就医报销的行为方式，就医政策并没有变化。按照现有政策，都是到本人选择的</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">4</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">家定点医疗机构就医。同时按照政策要求，还可以到本市所有定点专科医院和中医医院以及</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">19</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">家</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">A</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">类医院就医。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：退休人员持社保卡就医如何报销补充险？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：退休人员的统一补充险（个人负担的部分补充险再报销一半）原来是报销后直接打到个人医保存折上，现在医院持卡看病时，这一块职介记账了，不再垫付、报销。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：“蓝本”条形码和社保卡条形码不一样，有关系吗？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：两个卡有关联，但条形码是不一样的。号码不同没有关系。社保卡是行业标准，是人力资源和社会保障部标准制卡。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：到哪儿能查到社保卡信息？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：可通过社保卡服务网点和自助终端查询。服务网点指</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">18</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">个区县的经办机构和本市</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">300</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">家左右的社保所；也可以拨打</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">96102</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">咨询热线咨询；还可以登录市人力资源和社会保障局网站进行查询，点击网站上的社保卡服务平台，就可以查询到发卡记录、进程等；服务终端现在所有的二级以上定点医疗机构和服务网点都可以进行查询。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：在发生工伤事故后就医，如何确定是否应当用社保卡实时结算？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：如果认定是工伤事故，应全额垫付医疗费用，后经由工伤保险报销。如实时结算，后又被认定工伤，参保人员将实时结算的费用办理退费，再全额垫付医疗费用，事后将全额垫付的医疗费用申报至区县医疗保险经办机构进行手工报销。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：急诊未带社保卡该怎么报销？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：看病时若忘带卡，由参保人员个人现金全额垫付医疗费用，不能在医院直接完成实时结算。若其符合医疗保险基金支付条件的，可按照原流程办理手工报销手续。</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">问：什么情况需要换社保卡？如何办理？费用多少？</SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 21.2pt; TEXT-INDENT: -21.2pt; mso-char-indent-count: -2.02"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">答：因卡片污损、残缺而无法辨认卡面信息及不能在读卡机上辨认的，持卡人需持原卡和本人身份证到社保卡服务网点办理换卡手续。</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">15</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">个工作日后，申请换卡人持本人身份证和领卡证明到社保卡服务网点领取社保卡。按照有关部门批准的收费标准，每张卡只收取制卡工本费</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">20</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">元。</SPAN></P>
持卡就医该怎么做？
各地的政策不尽一致，请大家参考本地区的相关规定。持卡就医该怎么做？
补充一条：自2010.5.1日起，门诊看病，起付线以上的部分报销70%
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