Shanghai medical insurance reimbursement calculator

You are an employee of city insurance.

Your outpatient treatment is like this

tripartition

The account segment has its own segment and negative segment.

According to you, it costs 5000 yuan to go to the clinic (the bigger one is easier to calculate)

Use account funds first

Used up that year, and then used over the years.

486.4+ 1500.77= 1987. 17

5000- 1987. 17=30 12.83

Then this year (2007), the conceit of Chinese people is 1542 yuan.

That is, you will lose 1542 yuan.

30 12.83- 1542= 1470.83

This 1470.83 enters the common negative interval.

According to the proportion of three people in your work

Conceit 50%

So you only need to pay 735.42+ 1542 yuan.

also

There is no concept of reimbursement.

Take the card to see a doctor

The medical insurance paid by medical insurance will be automatically deducted when swiping the card.

The overall payment and additional payment on the invoice shall be paid by medical insurance.

PS:

You need to bring a social security card (or medical insurance card) and a medical record book (you can go to the medical insurance centers or medical insurance service points in all districts and counties of the city, and the medical insurance service points are generally in the social security centers in the streets)

Both require 1.

also

If you are hospitalized, you should set the deductible line. This year (2007), 7765438 elderly people, 0 yuan retirees 1234(0 1 year later). Employed personnel 1542 yuan.

Exceeding on-the-job conceit 15%

Retirement conceit 8%

The above medical insurance payment is paid by the overall fund.

About the ceiling

The maximum amount this year is 6 1680 yuan.

Then you go to see a doctor after this number.

(including medical insurance payment and self-payment. But excluding deductibles)

The excess is paid by the additional fund by 80%.

You pay 20%

Also pay by social security card.

There is no concept of reimbursement.

Take your social security card and notebook with you when you see a doctor.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.