Hefei social security reimbursement ratio

1. What is the threshold fee for hospitalization?

Answer: The insured person should hold the social security card to the designated medical institution for the first time. Within the scope of medical insurance, the Qifubiaozhun for hospitalization in the first-class (and below), second-class and third-class hospitals in this city are 200 yuan, 400 yuan and 600 yuan respectively.

2. What is the proportion of reimbursement for hospitalization medical expenses?

Answer: Within the scope of medical insurance, within one year, the proportion of the insured's hospitalization medical expenses above the threshold and below 60,000 yuan is 6% in the first-class hospital, 8% in the second-class hospital and 10% in the third-class hospital. For retirees and employees who have worked for more than 30 years, the proportion of individual commitment will be halved. 600,000-300,000 yuan shall be borne by 4% of individuals, and some funds above 300,000 yuan shall not be paid.

3. How is the medical insurance medicine prescribed in hospital prescribed?

Answer: According to the List of Drugs for Basic Medical Insurance and Work Injury Insurance in Anhui Province, the drugs used by the insured in hospital are divided into Class A drugs and Class B drugs. The expenses incurred in using Class A drugs shall be paid according to the provisions of basic medical insurance. For the use of Class B drugs, the insured pays a certain proportion first, and the rest is paid according to the provisions of basic medical insurance. The use of drugs outside the drug list will not be reimbursed by the medical insurance fund.