How to reimburse the old and the young in Beijing?

The reimbursement methods for one old man and one young man in Beijing are as follows:

1, outpatient reimbursement deductible line: medical institutions of level 1 and below 100 yuan, medical institutions of level 2 and level 3 in 550 yuan; The annual reimbursement limit is 3,000 yuan;

2. Outpatient reimbursement rate: 55% for first-class and below medical institutions, 50% for second-class and third-class medical institutions, and 55% for the highest outpatient reimbursement rate;

3. Inpatient reimbursement deductible line: medical institutions of level I and below 150 yuan, old 300 yuan, medical institutions of level II, little 400 yuan, old 800 yuan, medical institutions of level III and above, little 650 yuan, old 1300 yuan; The annual cap line is 200,000 yuan;

4. The reimbursement rate for hospitalization: 80% for first-class and below medical institutions, 78% for second-class medical institutions, 75% for third-class and above medical institutions, and the highest reimbursement rate for hospitalization is 80%.

The process of medical reimbursement:

1. Prepare the original invoice and medical summary of relevant medical expenses;

2. Bring the patient ID card and social security card to the designated medical reimbursement window;

3. Fill in the medical reimbursement application form and submit all materials to the staff for review;

4. After the approval, complete the subsequent reimbursement process according to the instructions of the staff;

5. Reimbursement will usually be directly credited to the patient's social security card or designated bank account.

To sum up, Beijing's old and young medical reimbursement policy stipulates that the outpatient deductible line 100 goes to 550 yuan, with an annual limit of 3,000 yuan and the highest reimbursement ratio of 55%; The deductible line for hospitalization ranges from 150 to 650 yuan, and from 300 to 1300 for the elderly. The maximum annual limit is 200,000 yuan, and the maximum reimbursement rate is 80%. Different levels of medical institutions have different deductible lines and reimbursement ratios.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 23

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

People's Republic of China (PRC) social insurance law

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.