How much is the social security card reimbursement for top three hospitals?

Legal analysis: reimbursement ratio of tertiary hospitals

1, deductible line

The deductible line, that is, the initial amount of reimbursement, can only be applied for reimbursement if it reaches the deductible line. Different hospitals have different hospitalization reimbursement deductible lines, and the reimbursement deductible lines of 3A hospitals are within 800 yuan.

2. Proportion of reimbursement

The higher the hospital level, the more reimbursement sections and the lower the reimbursement ratio. The reimbursement ratio of 3A hospitals is as follows:

(1) 80% of the deductible line from 800 yuan to 5,000 yuan;

(2) 85% will be reimbursed from 5000 yuan to 10000 yuan;

(3) 90% of the part above the maximum payment limit 10000 yuan;

(4) Retirees will be increased by 5% on the basis of the above reimbursement ratio.

Third-class first-class hospital

According to the thousand-point system, more than 900 third-class first-class hospitals and 50/kloc-0 beds were obtained, which provided high-level specialized medical and health services for many areas and carried out higher education and scientific research tasks.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.