What is the proportion of medical insurance reimbursement in Changsha?

1, employee. If you are an on-the-job employee, you can only reimburse more than 2,000 yuan for medical expenses after seeing a doctor in the emergency department of the hospital. The reimbursement rate of medical insurance for urban residents in Changsha is 50%. For retirees under the age of 70, expenses above 1300 yuan can be reimbursed, and the reimbursement rate is 70%. For retirees over 70 years old,180% of the expenses above 300 yuan can be reimbursed. No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20 thousand yuan. For example, if you are an on-the-job employee, and the outpatient medical expenses are 2,500 yuan, then 500 yuan can reimburse 50%, that is, 250 yuan.

2. Hospitalization. In case of hospitalization expenses, employees and retirees should pay the minimum amount 1300 yuan when using the basic medical insurance for the first time in a year. And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan. The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan. The standard of hospitalization reimbursement is related to the hospital level where the insured person is located. For example, in a tertiary hospital, employees pay 85% from the minimum payment standard to 30,000 yuan 15%, that is, 1 10,000 yuan to 40,000 yuan, and 90% to the maximum payment limit 10%, then 95% can be reimbursed. Retirees pay 60% of the on-the-job employees, but all below the minimum threshold are paid by individuals.

legal ground

"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.