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How much can Shantou medical insurance reimburse?
According to Article 45 of the Provisions on Basic Medical Insurance for Urban Workers in Shantou City, the medical expenses from the minimum deductible to the maximum payment limit shall be paid by the overall account of the basic medical insurance fund and the insured person according to the proportion of * * * *.
* * * If the payment falls under the circumstances specified in Items (1) to (3) of Article 42 of these Provisions, the proportion of the insured's payment shall be determined according to the level of medical institutions: 20% for tertiary medical institutions, 0/5% for secondary medical institutions, and 0/0% for first-class and below medical institutions; If the insured person is a retiree, the individual contribution ratio is 80% of the above-mentioned specified ratio.
Extended data:
Provisions on the relevant requirements of basic medical insurance for urban workers:
1. If the insured person has settled or lived in a different place (continuous 1 year or more), he can choose 1 to three designated medical institutions in the local basic medical insurance and go through the filing formalities at the municipal social insurance agency.
2, the insured in the designated medical institutions outpatient medical treatment, drug purchase or drug purchase in designated retail pharmacies, belonging to the basic medical insurance fund personal medical account payment, by the insured with personal medical account ic card bookkeeping, and then by the designated medical institutions and retail pharmacies in accordance with the provisions and social insurance agencies settlement.
3, the insured hospitalization medical expenses, by the designated medical institutions in accordance with the provisions of accounting, belonging to the expenses paid by individuals, borne by the designated medical institutions and individuals; Belong to the basic medical insurance fund payment, by the designated medical institutions in accordance with the provisions of the settlement with the municipal social insurance agencies.
Baidu Encyclopedia-Provisions on Basic Medical Insurance for Urban Workers in Shantou City
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