Reimbursement scope of Jinan medical insurance

After the medical insurance is handled, you can apply for medical insurance reimbursement if you meet the conditions. It just means that the reimbursement regulations will be different in every place. So what are the rules in Jinan? In order to help you better understand the relevant legal knowledge, Bian Xiao has compiled the following related contents. 1. How does Jinan's medical insurance reimbursement policy stipulate that the reimbursement ratio of employees' medical insurance hospitalization expenses and outpatient medical expenses is the same? The overall payment of hospitalization medical expenses and home medical expenses is 1. The minimum payment standard is 1 10,000 yuan: 85% is paid by the medical insurance pooling fund, and the personal burden is15%; 2. 10000 -90000 yuan: 88% from the overall fund, 12% from individuals; 3. Reimbursement for serious illness medical insurance is 90-200,000 yuan: 90% for large medical assistance and 0/0% for individual/kloc. Second, Jinan medical insurance reimbursement processing conditions 1. Hold the social security card for admission registration, and go through the reimbursement procedures directly at the time of discharge settlement. 2. The insured who is hospitalized without a card needs to be hospitalized during the period without a card. It is necessary to bring a letter of introduction from the unit and a copy of the admission certificate to the Medical Insurance Department of the Urban Workers of the Municipal Social Security Bureau to issue a certificate without a card before going through the hospitalization formalities. When you leave the hospital, you will not settle the account for the time being, and then you will take the card to the hospital where you live to handle the expense settlement procedures. According to the above answers, it can be concluded that if you need to apply for medical insurance reimbursement in Jinan, then the proportion will be involved in reimbursement. Under normal circumstances, the medical insurance fund pays 85%, and individuals have to bear 15%. If you still have relevant legal advice, you can call an online lawyer to answer it.

Legal objectivity:

People's Republic of China (PRC) Social Insurance Law Article 25 The State establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government. "People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of 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.