Proportion of medical insurance reimbursement for employees in Jiangsu Province

The proportion of medical insurance reimbursement for employees in Jiangsu varies according to medical expenses and insurance contracts. Basic medical insurance is usually 50%-80%, and hospitalization expenses are 70%-90%. Supplementary medical insurance can reach more than 90%. The specific proportion is affected by restrictions and conditions, and special diseases or high-priced drugs may have different proportions.

The proportion of medical insurance reimbursement for employees in Jiangsu Province refers to the proportion of medical expenses reimbursement for employees participating in medical insurance in Jiangsu Province. According to the relevant regulations of Jiangsu Province, the proportion of employee medical insurance reimbursement is divided into two parts, namely, basic medical insurance and supplementary medical insurance.

Basic medical insurance refers to the basic medical insurance that employees participate in, and its reimbursement ratio varies according to the different medical expenses. For example, the reimbursement rate of basic outpatient expenses within the scope of medical insurance in Jiangsu Province usually ranges from 50% to 80%. For hospitalization expenses, the reimbursement rate in Jiangsu Province is usually between 70% and 90%. The specific reimbursement ratio will be adjusted according to the specific items and amount of medical expenses.

Supplementary medical insurance refers to the additional medical insurance that employees can choose to participate in, and its reimbursement ratio will vary according to the specific insurance contract. Under normal circumstances, the reimbursement rate of supplementary medical insurance will be higher than that of basic medical insurance, which can reach more than 90%.

It should be noted that the proportion of employee medical insurance reimbursement may be affected by some restrictions and conditions. For example, some special diseases may enjoy a higher reimbursement rate, while some high-priced drugs may have a lower reimbursement rate. In addition, employees may need to provide corresponding medical expense vouchers and reimbursement application materials when enjoying medical expense reimbursement.

In a word, the proportion of medical insurance reimbursement for employees in Jiangsu is different according to the difference of medical expenses and insurance contracts. The specific reimbursement ratio can be obtained by inquiring about relevant medical insurance policies in Jiangsu Province or consulting local social security institutions.

Jiangsu employees' medical insurance reimbursement policy and application process refers to the reimbursement policy enjoyed by employees after participating in medical insurance and the specific process of applying for reimbursement in Jiangsu. According to the regulations of Jiangsu Provincial Department of Human Resources and Social Security, the proportion of medical insurance reimbursement for employees is certain, and the specific proportion varies according to different medical items and expenses. Before enjoying medical insurance reimbursement, employees need to provide relevant medical expense invoices, medical certificates, personal identification and other materials, and apply to their units or medical insurance agencies in accordance with the prescribed procedures. Upon examination, eligible expenses are reimbursed according to the prescribed reimbursement ratio. Workers can consult the specific application process and required materials through the website, window or telephone of the medical insurance agency.

Legal basis:

People's Republic of China (PRC) Social Insurance Law;

Chapter III Basic Medical Insurance

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