Social security and medical insurance reimbursement ratio

The proportion of medical insurance reimbursement for social security is for employees who have paid medical insurance for one month continuously. If the medical expenses reach more than 2,000 yuan, then the medical insurance will be reimbursed by 50%, and the individual needs to pay 50%.

The proportion of medical insurance reimbursement for social security is as follows:

1, outpatient and emergency medical expenses: the medical expenses of the employees in line with the basic medical insurance coverage in the year totaled more than 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.

3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.

Information required for medical insurance reimbursement:

1. Everyone needs to bring their own valid ID card and social security card software;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other related medical information;

4, the original unified fee invoice of the tax department of medical institutions;

5, the original prescription issued by the hospital doctor and the computer printed list of outpatient expenses;

6. If the tax goods are purchased in a designated pharmacy, a unified sales invoice and an original list printed by computer need to be prepared;

7. If it is entrusted to others, the trustee shall also prepare the original valid ID card.

To sum up, under normal circumstances, social security can only be paid for nearly three months. According to relevant laws and regulations, employees should participate in basic medical insurance for employees, and employers and employees should pay basic medical insurance premiums in accordance with state regulations.

Legal basis:

Article 23 of People's Republic of China (PRC) Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.