How many files does Zhejiang social security base have?

The social security base in Zhejiang has four grades, namely the lowest grade (40%), the first grade (60%), the second grade (80%) and the third grade (100%). The differences between one, two and three bifurcations are as follows:

1, the principle of medical treatment is different:

(1) The first-level insured person goes to any designated medical institution in the city for medical treatment;

(2) Filing the insured, the outpatient service is treated in the bound community health service center, the hospitalization is treated in any designated medical institution in this city, and the outpatient service is seriously ill in the prescribed medical institution;

(3) Three-level insured persons shall seek medical treatment in the outpatient department of the bound community health center, and seriously ill inpatients and outpatients shall seek medical treatment in the prescribed medical institutions.

2, general outpatient treatment is different:

(1) Class I enrollment: Personal account is used to pay the medical expenses within the scope of the insured's general outpatient medical insurance catalogue. The personal account of the basic medical expenses of community health centers pays 70%, and the overall fund pays 30% according to the regulations;

(2) Class II insured/Class III insured: drugs belonging to Class A and Class B shall be paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively; 90% of the single diagnosis and treatment or medical materials belonging to the medical insurance catalogue shall be paid by the community outpatient co-ordination fund, but the maximum payment amount shall not exceed 120 yuan; The total outpatient medical expenses paid by the community outpatient co-ordination fund to each second-grade and third-grade insured within a medical insurance year shall not exceed 1000 yuan.

3, hospitalization is different:

(1) First-class insured: 95% or 90% of the basic medical expenses and local supplementary medical expenses above the deductible line shall be paid as required.

(2) Second-class insured/third-class insured: you can be hospitalized in the settlement hospital bound to the social rehabilitation center, or you can refer to the designated hospital through the settlement hospital. The reimbursement rates of basic medical expenses and local supplementary medical expenses above the hospitalization deductible line are: 85% in first-class hospitals, 80% in second-class hospitals and 75% in third-class hospitals.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).

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.