Job Recruitment Website - Social security inquiry - After paying social security, can I be reimbursed for my second hospitalization?
After paying social security, can I be reimbursed for my second hospitalization?
1. Generally speaking, after the first reimbursement, the self-funded part of the insured includes three parts: the threshold cost of the hospital varies from hospital to hospital, the part that is not reported within the scope of medical insurance reimbursement, and the part that cannot be reimbursed outside the scope of medical insurance reimbursement.
2. The second reimbursement of medical insurance means that after the first reimbursement, the part of the insured who has not reported the scope of medical insurance reimbursement is reimbursed for the second time, and this part of the expenses can only be reimbursed if it exceeds 600 yuan.
3. Only those who must participate in the basic medical insurance for urban workers and the large medical expense subsidy insurance for urban workers can declare cancellation twice, and those who participate in the medical insurance for urban residents cannot enjoy this treatment.
4. Medical insurance "second reimbursement" must meet certain conditions, 600-800 yuan 40%, 800- 1000 yuan 50%,1000-3,000 yuan 60%, more than 3,000 yuan 70%.
5. The second reimbursement means that after the medical insurance is settled, if an individual still has insurance to settle in other places, he can settle in other places. The specific reimbursement ratio depends on the insurance coverage you have purchased.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
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-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
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.
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