1 10,000 how much is the medical insurance card reimbursement for the operation fee?

Proportion of reimbursement for surgical expenses within the scope of medical insurance:

1. The medical expenses above 1800 yuan can only be reimbursed after the on-the-job employees go to the hospital for emergency treatment, and the reimbursement rate is 50%;

2. Retirees under the age of 70,1.Expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%;

3. Retirees over 70 years old,1.Expenses above 300 yuan can be reimbursed by 80%. The maximum payment limit (hospitalization expenses) of the basic medical insurance pooling fund within one year is currently 70,000 yuan;

4. 95% of the part exceeding the maximum payment limit of 40,000 yuan can be reimbursed, as long as the employee pays 5%;

5. The proportion of individual contributions of retirees is 60% of the on-the-job (that is, the above) employees, but all the contributions below the minimum threshold are paid by individuals.

Settlement procedure:

1, settlement procedures for inpatient and outpatient treatment of special diseases. Designated medical institutions shall submit the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end final accounts after examination. The medical insurance agency pre-allocated the hospitalization and outpatient expenses for special diseases last month. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately.

2. Emergency settlement procedures. The medical expenses incurred by the insured due to emergency rescue to non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall handle the reimbursement procedures according to the provisions with the emergency hospitalization medical records, inspection, laboratory test sheets, invoices and detailed list of medical expenses.