How much medical expenses can social security report?

According to different types, the medical expenses reimbursed by social security cards range from 0 to 70,000 yuan.

First, outpatient and emergency expenses.

1. The medical expenses above 1800 yuan can only be reimbursed after the on-the-job employees see a doctor in the emergency department of the hospital, 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%.

Second, the hospitalization expenses.

The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan.

1, the standard of hospitalization reimbursement is related to the level of the hospital where the insured person is located. If you live in a tertiary hospital, the employee pays 15%, which is 85% of the reimbursement, from the minimum threshold to 30,000 yuan.

2, 30,000 yuan to 40,000 yuan, the employee's individual contribution 10%, 90% reimbursement;

3, more than 40000 yuan to the maximum payment limit, 95% can be reimbursed, employees only need to pay 5%.

4. The individual contribution ratio of retirees is 60% of the on-the-job (i.e. the above) employees, but all below the threshold is paid by individuals.

Three, designated hospitals and retail pharmacies

Reimbursement scope of designated hospitals and retail pharmacies: The insured can only be reimbursed if he visits four designated medical institutions (except emergency) or designated Chinese medicine and specialties (including stomatological hospitals, maternity hospitals, cancer hospitals, etc.). ) and 1 1 Class A medical institutions.

What is the highest social security medical expenses?

Critical illness insurance is divided into social security critical illness subsidies and critical illness insurance in commercial insurance.

The subsidy for serious illness in social security is the medical expenses for treating a serious illness after illness and subsidizing it after spending a certain amount of money. Generally, there is a maximum payment limit, which does not exceed 80,000 in most areas;

In commercial insurance, critical illness insurance is paid after diagnosis, and the amount of major illness insurance is paid. Another kind of insurance, such as cancer insurance, is also a kind of insurance in critical illness insurance, but it also requires survival after illness. Most companies pay cancer insurance one month after they are diagnosed with cancer.

If it is a common disease that requires hospitalization, it depends on the terms of different companies (60-90%) and whether you have bought social security. If you have already bought social security, the rest will be reimbursed. If it is a serious disease, such as malignant tumor, paralysis, etc. , will be paid according to the amount of the purchase report. This can be said to be a penny for a penny, which means that the more you buy, the more you lose.

However, there is a kind of insurance called universal insurance, which all companies have. You get what you pay for, and the wool is on the sheep. You get what you pay for, and if you don't need to make claims after you get sick, the remaining cash value will be less. It can be said that the so-called pension is less, but this kind of insurance is also a penny. Similarly, there will be more so-called pensions left.

Legal basis:

Article 58 of the Social Insurance Law

The employing unit shall, within 30 days from the date of employment, apply to the social insurance agency for social insurance registration for its employees. If the social insurance has not been registered, the social insurance agency shall verify the social insurance premium it should pay. Employees-free individual industrial and commercial households who voluntarily participate in social insurance, part-time employees who do not participate in social insurance in the employing unit and other flexible employees shall apply to the social insurance agency for social insurance registration. The state establishes a national unified personal social security number. Personal social security number is a citizen's identity number.