What is the annual reimbursement amount of medical insurance?

The annual reimbursement amount of medical insurance is as follows:

1. Outpatient reimbursement ratio: Outpatients can reimburse a certain amount, and medical expenses below 1.8 million yuan that meet the reimbursement scope occur. The threshold of tertiary hospitals is 500 yuan, and the reimbursement rate is 55%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.

2. In this case, the reimbursement rate for hospitalization is the same as that for outpatient service.

3. The reimbursement rate of outpatient special diseases is the same as that of outpatient special diseases.

4. The proportion of reimbursement for multiple hospitalizations will decrease during the year.

5. The medical insurance hospitalization capping line is 290,000 yuan.

6. Accident insurance for children and students. Claim standard is 200 yuan, with the limit of 1.6 million.

7. Payment standard for residents' basic medical insurance benefits: 80% for first-class hospitals, 70% for second-class hospitals and 60% for third-class hospitals.

Medical insurance reimbursement conditions:

1, the insured must meet the requirements of the national medical insurance, that is, pay the corresponding medical insurance fees under the national medical insurance system;

2, medical expenses must comply with the provisions of the national medical insurance medical service directory, including drugs, treatment items, inspection items, surgical items, etc. ;

3. Medical expenses must be consumed in medical institutions designated by medical insurance, that is to say, the insured can only enjoy medical insurance reimbursement services in medical institutions designated by medical insurance;

4. Medical expenses must be submitted for medical insurance reimbursement within the specified time. It is generally required to submit an application within a certain period of time after seeing a doctor;

5. The balance of the insured person's personal account must be sufficient, otherwise the medical insurance reimbursement service cannot be enjoyed.

To sum up, the process of reissuing medical insurance cards in different regions and different types of medical insurance may be different, and the specific process needs to be determined according to local actual conditions and policies.

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 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.

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.