Beijing social security reimbursement ratio

Beijing social security reimbursement ratio:

1. On-the-job employees, outpatient deductible line 1800 yuan, the reimbursement rate is 70% in the hospital and 90% in the community, and the capping line is 20,000 yuan. Inpatient deductible: the first time: 1300 yuan, the second time and later: 650 yuan. Reimbursement ratio: 90% in the first-class hospital, 87% in the second-class hospital and 85% in the third-class hospital, with a total hospitalization reimbursement of 300,000 yuan;

2. The outpatient deductible line for retirees is 1.300 yuan, and the reimbursement ratio is: under 70 years old, hospitalization reimbursement is 85%, community reimbursement is 90%, over 70 years old is 90%, and the top line is 20,000 yuan. Deductible for hospitalization: first time 1300 yuan, second time and later 650 yuan. Reimbursement ratio: 97% in the first-class hospital, 96. 1% in the second-class hospital and 95.5% in the third-class hospital, with a total reimbursement of 300,000 yuan for hospitalization.

Medical insurance reimbursement process:

1. The agent submits the reimbursement documents and other materials to the social security agency for acceptance;

2. After receiving the application materials, the accepting department shall review, settle accounts and pay;

3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form". The medical insurance reimbursement process is relatively simple, and now it has also opened cross-regional medical insurance reimbursement, so you don't have to go back and forth for medical treatment in different places.

Legal basis: Article 2 of People's Republic of China (PRC) Social Insurance Law.

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

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.