Wuxi social security reimbursement rate

Legal analysis: the reimbursement ratio of medical insurance is 85%, if it exceeds the basic limit, then the social insurance department will reimburse 85% according to: 0 to less than 40,000 yuan, 90% from 40,000 yuan to less than 80,000 yuan, and 95% from 80,000 yuan or more.

Legal basis: "Opinions of the Supreme People's Court on the Integration of the Basic Medical Insurance System for Urban and Rural Residents" Article 27 The part of the hospitalization medical fees within the policy scope incurred by the insured residents at the designated medical institutions of the basic medical insurance of the coordinated area above the starting standard shall be paid by the urban and rural residents' medical insurance fund according to the proportion: not less than 80% for township health centers and community health service institutions; not less than 70% for county-level medical institutions; not less than 70% for city-level medical institutions; not less than 70% for city-level medical institutions. Medical institutions at the county level no less than 70%; medical institutions at the municipal level no less than 60%. The coordinated areas in accordance with the urban and rural residents health insurance fund income and expenditure situation reasonably determine the specific payment ratio.