The utility model discloses a medical insurance card self-service settlement device. Including a chassis, a supporting frame is fixedly arranged on one side of the upper surface of the chassis; a connecting frame is fixedly arranged at the top of the supporting frame; the top of the connecting frame is fixedly connected with a supporting table. A fixing frame is fixedly arranged on the outer sideof the upper surface of the supporting table. A card swiping POS terminal is fixedly arranged on the fixing frame. The number of the fixing frames and the number of the card swiping POS terminals areboth four. The blades are uniformly distributed on the upper surface of the support table; a disc is fixedly arranged in the middle of the supporting frame, a plurality of rubber columns are fixedly connected to the outer side face of the disc, the rubber columns are evenly distributed on the outer ring of the disc, and an annular plastic sleeve is fixedly connected to the side, away from the disc, of each rubber column. The medical insurance card self-service settlement device is simple in structure, the working space is utilized to the maximum extent, the queuing time is shortened, and meanwhile effective anti-falling measures are added to protect a machine.