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Cross-city reimbursement ratio of social security medical care
Legal analysis: 1, the medical insurance reimbursement rate is 85%. 2. The threshold of charging standard for secondary hospitals is 400. The proportion of medical insurance reimbursement is 70%. 3. The threshold of charging standard for a class of hospitals is 600. The proportion of medical insurance reimbursement is 60%. 4, a class of hospitals to the province for medical treatment, the starting point of the charging standard is 600. The proportion of medical insurance reimbursement is 60%. 5, a class of hospitals outside the province, the starting point of the charging standard is 600. The proportion of medical insurance reimbursement is 55%. 6, an insurance year hospitalization for many times, the first and second hospitalization Qifubiaozhun shall be borne by the individual. Qifubiaozhun for the third and above hospitalization shall be paid by the overall fund. The maximum payment limit of the overall fund in an insurance year is 50 thousand.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
Fifth people's governments at or above the county level shall incorporate social insurance into the national economic and social development plan.
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