What if my photo is not on the social security card?

Q: What should I do if the received social security card and ID card information are inconsistent?

Answer: Give the copy of the social security card and ID card or household registration book to the unit, and the unit will give it to the county social security center for re-business card printing.

Social security card is an integrated circuit card (IC card) which is uniformly planned by the Ministry of Labor and Social Security and issued to the society by local labor and social security departments and used in various business fields of labor and social security. Social security (individual) cards are issued to urban employees, unemployed people and retirees, and social security (employer) cards are issued to employers. Ministry of Human Resources and Social Security said that it will take about five years to make social security cards generally have financial functions. Hu Xiaoyi, Vice Minister of Ministry of Human Resources and Social Security, introduced at the press conference of the State Council Office on August 30th that the social security card adopts the national unified standard, and the social security number adopts the citizenship number according to the relevant provisions of the Social Insurance Law.

Conceptual explanation

The full name of social security card is "Social Security Card of the People's Republic of China". Judging from the meaning of this name, the target of distribution is the people who implement social security by the relevant government departments; As far as its content is concerned, it can involve all aspects of individual social security, including both social insurance and employment services. Local governments in some areas also put more social management affairs into it according to local management needs. Geographically speaking, this is an IC card that can be used all over the country, and it can meet the needs of the national unified labor market and social security system networking, as well as the needs of personnel flow.

To correctly understand the concept of social security card, we must also understand the relationship between social security card [1] and IC cards in other industries, especially bank cards. Because the "personal account" on social security cards for cardholders to settle in hospitals is similar to the "electronic wallet" of bank cards, some regions or manufacturers adopt the standard of bank cards to design social security cards. The bank card standard is a specification for the application of bank cards, and its file storage format, instruction operation, security management and other aspects are all designed for various financial-related transactions. IC cards issued in the field of labor and social security are mainly used for administrative management, and their main function is to manage information records, which is quite different from that of bank cards. The medical insurance personal account in the social security card is also essentially different from the electronic wallet in the bank card. It records accounts in personal accounts, not real money. After the cardholder transfers the balance of personal account to the card, the medical insurance institution is still responsible for the use of the account. Even if the cardholder's card is lost or damaged, as long as the funds in the personal account are not fraudulently used by others before reporting the loss, they still belong to the cardholder, and this part of the account can still be used for medical consumption. The electronic wallet in the bank card has nothing to do with the bank once the user deposits the money in the card. Once the card is lost or damaged, the loss shall be borne by the cardholder. Therefore, medical insurance personal accounts must not be handled by electronic wallets. In some places, it is not recommended to put social security applications and financial applications on one card, because integrating business applications and management applications on one card will cause many drawbacks in management, inconvenience to cardholders and management institutions, and even losses to cardholders.

2 development situation

Beijing local

Fengtai district social security card real-time settlement summary meeting

After the implementation of the card for medical treatment, the designated medical institutions for individual medical treatment are still subject to the designated medical institutions selected in the medical insurance manual, and Class A, Chinese medicine and specialist hospitals can directly seek medical treatment. [2]

Medical treatment without a card cannot be reimbursed.

Insured persons who have received social security cards must show their social security cards when seeking medical treatment in designated medical institutions that have opened card-based medical settlement services. If the social security card is not presented, the expenses incurred shall be borne by the individual in full, and the medical insurance fund cannot pay it.

If the insured person goes to the hospital for emergency treatment, family planning surgery, enterprise arrears, replacement of cards, failure to issue cards after enrollment, etc. The medical expenses incurred can be paid in cash by the individual first and then reimbursed by the medical insurance agency according to the original process.

In the process of handling the social security card replacement, you must bring the card replacement certificate for medical treatment.

In the process of reissuing the social security card, don't worry if you get sick. When you reissue a new card, the social security card service network will issue a card replacement certificate for you. You can go to the designated hospital for medical treatment with a replacement card certificate, and keep the prescription details and charging documents for reimbursement according to the original regulations.

After holding a social security card for medical treatment, the current outpatient deductible policy remains unchanged.

After the insured person holds the card for medical treatment, the outpatient deductible standard is the same as the original regulations, that is, the insured person only deducts one deductible line from the outpatient expenses for one year: employees 1.800 yuan, retirees 1.300 yuan. According to the policy, the medical expenses below the deductible line of outpatient service are paid by personal account funds, and the personal account funds of our city have been transferred to the bank passbook for free withdrawal, so the medical expenses below the deductible line need to be paid in full when seeking medical treatment. For the part exceeding the deductible, according to the reimbursement ratio stipulated by the policy, the individual only bears the medical expenses that should be paid by himself.

Before using the social security card, the insured should reimburse the outpatient medical expenses that have occurred in their hands as soon as possible. If the outpatient medical expenses incurred before the card is used for medical treatment are not declared, the outpatient medical expenses within the deductible line need to be paid in full, and the expenses outside the deductible line only need to be paid at their own expense and the self-paid part. The undeclared outpatient medical expenses before receiving the card shall be reimbursed by the district medical insurance agency according to the original process, and the deductible line will not be deducted when reimbursing.

Personal account management mode remains unchanged after holding a card for medical treatment.

At present, the personal account management policy has not been adjusted. After holding the card for medical treatment, the amount of the insured's personal account is still transferred to the insured's special passbook for medical insurance in Bank of Beijing on a monthly basis, and the personal account funds can still be withdrawn independently in the bank.

Outpatient registration fee is fixed to 2 yuan.

From June 1 day, 2009, the outpatient treatment fee was paid by the medical insurance fund to 2 yuan, and the rest was paid by the insured in cash.

Zhejiang local

Lishui Social Security Card Data Collection Work Conference

Time schedule for applying for social security card

According to the Interim Measures for the Administration of the Issuance of Social Security Cards, "social security cards are issued to registered residents in this city and non-registered residents who can enjoy human resources, social security services and other social services in this city according to regulations." Social security cards are widely distributed. In order to ensure the orderly issuance of social security cards, the work arrangement for applying for social security cards in our city is announced as follows:

First, according to the "Lishui Social Security Card Data Collection Implementation Plan", social security cards in our city are issued in the following order:

(1) Basic medical insurance for urban workers;

(two) the social endowment insurance for urban and rural residents;

(3) Medical insurance for urban residents;

(4) Other objects.

20 1 1 Complete the data collection of urban workers' basic medical insurance participants before the end of 20 13, and basically issue social security cards in the whole city before the end of 2013. Counties (cities) should formulate their own work plans according to actual conditions.

Second, according to the "implementation plan for the application of social security cards for urban workers' basic medical insurance in cities and districts", in order to ensure the orderly development of the application of social security cards in cities and districts, all units at the city level and in liandu carry out the application of social security cards according to the following time:

(1) From September 10 to September 20th, the data collection of the card-issuing unit was preliminarily conducted.

(2) Starting from June 65438+1 October 65438+June1,municipal and district administrative organs and institutions apply for data collection in batches. (municipal unit 1 1.5 before completion; All units in the area completed before 1 1.05)

(3) Starting from1October 1 1, municipal and district enterprises apply in batches.

(4) Starting from 65438+February 1, individual sporadic applications are accepted.

Three main functions

Basic information such as the cardholder's name, gender and citizenship number, as well as the cardholder's personal status (employment, unemployment, retirement, etc.) are recorded on the social security card face and card. ) marked in the card, you can record the cardholder's social insurance payment, pension insurance personal account information, medical insurance personal account information, professional qualifications and skills, working experience, work-related injuries and occupational diseases. Social security card is the electronic certificate for workers to work in the field of labor security. Cardholders can use their cards to seek medical treatment and settle medical insurance personal accounts; You can handle endowment insurance affairs with your card; You can apply to the relevant departments for job registration and unemployment registration, unemployment insurance and employment training; You can apply for labor ability appraisal with your card and enjoy work-related injury insurance benefits. In addition, the social security card is the key for workers to open the door to the contact system. With this key, cardholders can query information online and handle related labor and social security affairs online in the future.

Four kinds of introductions

Blue card:/kloc-used by people over 0/6 years old (including 16 years old).

Green card:/kloc-for minors under the age of 0/6.

5 treatment conditions

Those who meet the application conditions can make an appointment by telephone at the application outlets or apply for social security cards (including student ID cards) directly at the street (town) social security card application service outlets. When applying, you need to bring your ID card, household registration book, application form (citizens with collective household registration need to bring the household registration certificate issued by the local police station or police station) and other related materials.

6 solve the problem

This year, the city has issued social security cards in an all-round way, and the number of people holding cards for medical treatment is increasing. Some of them don't know much about how to use social security cards, and they encounter problems in the process of obtaining medical treatment and reimbursement. Recently, the staff of relevant departments gave answers.

Q: Before using the social security card, outpatient medical expenses have occurred. How can I reimburse them?

Answer: Before using the social security card, the outpatient medical expenses that have occurred are submitted to the unit or social security office for reimbursement according to the original process. If you have used the social security card for medical treatment, you should also hand in the social security card. Q: Isn't the outpatient registration fee reimbursed in proportion?

A: From June 1 2009, the outpatient treatment fee will be paid to 2 yuan by the medical insurance fund, and the rest will be paid by the insured in cash. It is worth noting that regardless of whether the medical expenses incurred by patients this year exceed the outpatient deductible line, the medical insurance fund will also pay 2 yuan a fixed amount.

Q: Are the medical expenses of purchased drugs settled by credit card in real time?

Answer: The original settlement method is still adopted for medical expenses incurred due to drug purchase, instead of real-time credit card settlement.

Q: Under what special circumstances can the insured get full cash reimbursement for medical expenses?

Answer: In case of emergency without social security card, family planning operation, enterprise arrears, manual reimbursement or replacement of social security card, and failure to issue social security card after enrollment, medical expenses will still be paid in full by the insured person's personal cash, so it is impossible to complete real-time settlement directly in the hospital. In line with the medical insurance fund payment conditions, according to the original process for manual reimbursement procedures.

Q: How to read the real-time settlement bill?

A: In the bill details of real-time settlement, the amount within the scope of medical insurance can be included in the total expenses paid by medical insurance.

This medical insurance fund payment: the total amount of expenses that should be paid by the medical insurance fund according to the policy, including large outpatient medical treatment, supplementary insurance for retirees and subsidies for disabled soldiers.

The "personal burden" of medical expenses includes three parts:

1. Out-of-pocket 1: medical expenses that should be borne by individuals in proportion (including the amount above the deductible line and above the cap line);

2. Out-of-pocket 2: the amount that needs to be borne by individuals in the Category B catalogue (such as the medical expenses paid by individuals for Category B drugs10%);

3. Self-expense: medical expenses beyond the scope of reimbursement (i.e. drugs, diagnosis and treatment, service facilities);

The total medical expenses of this medical treatment = this medical insurance fund payment+this personal burden.

Q: How should retirees change their social security card information?

A: The cardholder information can be synchronized with the social security institutions in the districts and counties where the card issuing unit is located.

Q: What will happen if retirees fail to change their social security card information in time?

A: Employees who do not change their information in time after retirement are still reimbursed according to the deductible line and reimbursement ratio of the outpatient service, which may damage the medical insurance rights and interests of the insured.

Q: Do I need to choose a hospital card for medical treatment?

A: After the implementation of card-holding medical treatment, the designated medical institutions for individual medical treatment are still subject to the designated medical institutions selected in the medical insurance manual, and Class A, Chinese medicine and specialist hospitals can directly seek medical treatment.

Q: Is there any change in the deductible of social security card participants?

Answer: The payment standard remains the same after the card is used for medical treatment: only one deductible line is deducted from the outpatient (emergency) consultation expenses of the insured within one year: employee 1.800 yuan, retiree 1.300 yuan. According to the policy, the medical expenses below the outpatient deductible line shall be paid by the personal account fund. For the part exceeding the deductible, according to the reimbursement ratio stipulated by the policy, the individual only bears the medical expenses that should be paid by himself.

Q: What adjustments have been made to the personal account management policy after holding a card for medical treatment?

A: At present, the personal account management policy has not been adjusted. After holding the card for medical treatment, the amount of the insured's personal account is still transferred to the insured's special passbook for medical insurance in Bank of Beijing on a monthly basis, and the personal account funds can still be withdrawn independently in the bank.

Q: The insured who has received the social security card has accidentally lost the medical insurance manual (blueprint). What should I do? I lost my social security card. How can I reissue it?

Answer: You need to go to the county social security center of the insured area to go through the formalities of completing the medical insurance manual (blueprint). When you reissue the medical insurance manual (blueprint), you need to provide the cardholder's social security card, and the county social security center will update the card information of the social security card for you.

If the social security card is lost, you need to go to the county-level social security center in the insured area to go through the formalities of replacement. The unit should also provide the medical insurance manual (blueprint) of the insured, and the county social security center will update the information in the social security card for them simultaneously.

Q: Where can I get the social security card?

A: On-the-job personnel receive the card at the insured unit; Retirees receive cards from the original insured units; Socialized management of retirees in the insured street social security office to receive; Employment agencies and talent archivists obtain certificates at employment agencies and talent service centers in the insured areas.

Q: After receiving the card, I found that the information in the card was wrong. How to change it?

A: Most of the cases found are that the photos don't match me, or the names are pronounced differently. In any of the above circumstances, the cardholder shall return the social security card to the district social security center through the unit.

Q: What should I do if the received social security card and ID card information are inconsistent?

Answer: Give the copy of the social security card and ID card or household registration book to the unit, and the unit will give it to the county social security center for re-business card printing.

Q: How to view the information in the card?

A: You can take your card to the card service outlets for help, or you can pick it up on the electronic touch screen of the self-service terminal for self-inquiry.

At present, the social security card service system in this city mainly consists of four parts: social security card service outlets, social security card service hotlines, social security card service websites and social security card self-service terminals. Set up social security card service outlets in more than 300 street social security offices, 18 district and county social security centers and the social security center of the Economic Development Zone of the city to facilitate cardholders to handle social security card-related business; The social security card service hotline "96 102" provides 24-hour service; In addition, logging in to Beijing Human Resources and Social Security Network can access the social security card service website interface. Self-service terminals for social security card services have been installed in social security card service outlets and designated medical institutions in this city, which can realize the functions of medical insurance information inquiry and pre-loss reporting.

Q: Why do some employees have cards and some don't?

A: The social security card issued this time is the time information at 0: 00 on February 16, 2009 in the medical insurance database. After that, new insured persons and those who need to collect secondary information due to incorrect information comparison are not included in the scope of this card issuance. In this way, some employees in the unit have cards and some don't.

Q: After the insured person receives the card, how to determine the time for holding the card for medical treatment? Why do some units inform the insured that they can only use social security cards for medical settlement in the second half of the year or during the year?

Answer: After receiving the social security card, the insured person can go to the designated medical institution for medical treatment and settle the account in real time. But before that, if there are medical expenses paid in full by individuals, manual reimbursement procedures should be handled in advance.

Q: Do the insured who have received the social security card continue to use the medical insurance manual (blueprint) in their hands?

A: Social security cards in this city will be issued in stages. Before the social security card completely replaces the medical insurance manual (blueprint), the social security card will be used in parallel with the medical insurance manual (blueprint). When the medical insurance manual (blueprint) stops being used, a notice will be issued to inform the whole city.

Q: What if I forgot to bring my card this time?

Answer: Insured persons who have received social security cards must show their social security cards when seeking medical treatment in designated medical institutions that have opened card-based medical settlement services. If the social security card is not presented, the expenses incurred shall be borne by the individual in full, and the medical insurance fund cannot pay it.

Q: How do the insured who uses the social security card for the first time handle the card opening procedures?

Answer: The insured person goes to the designated medical institution for medical treatment with the social security card, and can open the social security card at the same time of registration or payment.

Q: How do I use my social security card to see a doctor?

A: First of all, you must show your social security card when registering, and pay your own expenses in cash. The hospital will issue a bill for the insured. Secondly, when going to the clinic to see a doctor, you should take the initiative to show your social security card and the Handbook of Emergency Medical Records of Medical Institutions in Beijing; Third, when paying fees, the social security card and payment documents must be handed over to the settlement personnel to pay part of the expenses paid by individuals and at their own expense; Finally, after getting the settlement documents, carefully check the contents of the documents and recover the social security card.

Q: Is the unified supplementary medical insurance for retirees paid by credit card at the same time?

A: Yes.

Q: How can I see a doctor during the replacement (replacement) of my social security card?

Answer: During the period of applying for the replacement (replacement) of social security card, the insured should take the initiative to show the certificate of the new development (replacement) of social security card when going to the designated medical institution for medical treatment. Designated medical institutions collect relevant information according to the vouchers of new cards and reissued social security cards, and upload the details of expenses. When the designated medical institutions settle medical expenses for the insured, they will collect cash in full and issue relevant documents, and the insured will declare medical expenses according to the original process with a new social security card.

Q: How do cardholders go to designated medical institutions that do not have the conditions to swipe their cards?

A: Cardholders must pay in full cash when they go to designated medical institutions that do not have the conditions to swipe their cards. The hospital will issue a receipt for medical expenses for the insured and upload the details of medical expenses. The insured shall reimburse the outpatient medical expenses according to the original process with the social security card.

Q: After an industrial accident, how to distinguish whether social security cards should be used for real-time settlement? If it is settled in real time and then identified as a work-related injury, how to solve it?

Answer: If it is really an industrial accident, the medical expenses should be paid in full, and then reimbursed through industrial injury insurance; If it is settled in real time and then identified as a work-related injury, the insured will refund the real-time settlement fee and then pay the medical expenses in full. After that, the medical expenses paid in full will be reported to the county medical insurance agency for manual reimbursement.

Q: Under what circumstances do I need to change my social security card information?

A: (1) Medical insurance is transferred from working to retirement;

(2) disabled soldiers who is newly insured;

(3) changing the coverage of medical insurance;

(4) Examination and approval of special diseases.

(5) The manual is lost and replaced.

Q: What should I do if I lose my social security card?

A: Cardholders can call the social security card service hotline "96102" (24-hour service) to report the loss in advance. You can also go through the written pre-loss reporting procedures at the social security card service outlets with your resident ID card or household registration book, or directly report the loss at the self-service terminals set up at the social security card service outlets and designated medical institutions above the second level. The effective time of pre-loss reporting is 10 day, and it will be automatically released after the effective time limit.

If the loss-reporting person determines that the lost social security card cannot be recovered, he/she needs to hold his/her resident ID card to report the loss to the social security card service outlets formally, and at the same time, he/she should go through the formalities of replacing the card. 15 working days later, the applicant will receive the social security card at the social security card service outlet with his/her resident ID card or household registration book and the Certificate of New Social Security Card Replacement (hereinafter referred to as the Certificate of Getting the Card, see Annex 1). After the formal loss reporting, the loss reporting cannot be cancelled.

7 Use design

Social security card is an electronic information card used by medical insurance agencies to identify the identity of insured persons, record and store personal account funds and their use. With my social security card, the insured can seek medical treatment at any designated medical institution in this city or purchase medicines at designated retail pharmacies. Cards are generally bar code cards, magnetic stripe cards and ic cards, also called integrated circuit cards. Bar code card is the simplest card with low cost. Huaiyin District, Jinan 1996, medical insurance pilot uses bar code cards. Judging from the use effect, it is very poor. The reason is that strong computer network support is needed and the customization workload is large. Compared with bar code card, the customization workload of magnetic stripe card is much simpler, but its requirements for computer network are the same as that of bar code card; IC cards, also known as smart cards or integrated circuit cards, are currently divided into three types. One is memory card, whose integrated circuit is programmable read-only memory, which can be electrically erased.

The socialization functions of IC cards in each city are basically the same, mainly focusing on the five social insurance applications (medical care, pension, work injury, maternity and unemployment) of labor and social security services, among which IC cards play a leading core service function, and individual cities have developed other related business services, set up financial special zones, and increased electronic wallets and corresponding payment functions.

8 software and hardware systems

Card system software includes key management system, card issuing management system, card management and maintenance system, transaction management interface, card inquiry system, account management, data network transmission, clearing management, HIS (medical information management system), abnormal transaction processing function, etc.

The hardware architecture of social security card mainly includes: server, working terminal, initialization equipment, card reading equipment, encryption machine, etc.

9 One-card function

2011August 2 1 day, Ministry of Human Resources and Social Security said that they are promoting social security cards and deploying work to expand the application fields of social security cards. To this end, the Ministry of Industry and Information Technology issued the Notice on Loading Financial Functions into Social Security Cards. The social security card loaded with financial functions not only has the functions of information recording, information inquiry and business handling, but also can be used as a bank card with financial functions such as cash deposit, withdrawal, transfer and consumption. In order to promote financial services to people's livelihood and facilitate people to enjoy social security benefits and financial services.

The financial application of social security card with financial function is RMB debit application, and the credit function is not supported at present. The card medium of the card is a contact chip card, which can be temporarily transitioned in the form of a chip plus a hidden magnetic stripe composite card. The chip should include human resources and social security applications and financial applications.

Ministry of Human Resources and Social Security demanded that all localities strive to basically realize the goal of universal financial function of social security cards in about five years. By the end of 20 10, the number of social security cards issued in China is about 1 100 million. By the end of the Twelfth Five-Year Plan, the number of unified social security cards issued nationwide is expected to reach 800 million, covering 60% of the population.

Hu Xiaoyi, Vice Minister of Ministry of Human Resources and Social Security, introduced at the press conference of the State Council Office on August 30th that the social security card adopts the national unified standard, and the social security number adopts the citizenship number according to the relevant provisions of the Social Insurance Law. From then on, the social security card will join the financial function and be unified throughout the country.

References:

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Information about social security?

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2. Ministry of Human Resources and Social Security: Social Security Card "One Card" after 5 years?

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3. Does the unified standard number of social security cards adopt the citizenship number?

/news/ 12 18，20 1 10830 15947 1457 . html

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4. Will the social security card load the bank card function?

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