202 1-2022 Qingdao residents' medical insurance payment standard and reimbursement ratio

Qingdao Social Security Bureau has issued a notice on the payment of residents' medical insurance in Qingdao this year, and the individual payment standard of residents' social security has been raised, but the government subsidy standard has also been partially raised. In addition, the notice also clarified the reimbursement ratio and standard of Qingdao residents' medical insurance this year. The following will introduce the payment standard and reimbursement ratio of Qingdao residents' medical insurance in detail.

Payment standard of medical insurance for Qingdao residents

First, the individual payment standard of residents' medical insurance

1. First payment standard: each person pays 390 yuan every year;

2. Second grade and children's payment standard: 260 yuan per person per year;

3. Payment standard for college students: per person per year 125 yuan.

Second, the government subsidy standard for residents' medical insurance

1. Level 1 subsidy standard: 690 yuan per person per year;

2. Subsidy standard for second grade, children and college students: 6 10 yuan per person per year.

Three, the national supplementary medical insurance payment standard

20 yuan standard per person per year.

Proportion of medical insurance reimbursement for Qingdao residents

First, the proportion of residents' medical insurance reimbursement

1. hospitalization reimbursement ratio: adjusted from 80% to 85%;

2. Outpatient reimbursement ratio: 75% adjusted to 80%.

Second, the proportion of reimbursement for serious illness medical insurance

The reimbursement rate of medical insurance fund for serious illness was adjusted from 75% to 80%.

Three, outpatient medical expenses as a whole

The lump sum standard for outpatient medical expenses paid by residents and children is raised from 50 yuan to 70 yuan per person per year, and the maximum annual payment is raised from 300 yuan to 400 yuan.

Four, long-term medical insurance related treatment

If eligible adult residents pay the second fee, 60% to 70% of the medical expenses incurred during the community patrol service will be reimbursed.

Payment time of medical insurance for Qingdao residents

From June 2065438+2008, the whole city can pay scrapped medical insurance, and residents of jiaozhou city, jimo city, pingdu city and Laixi will go to the social insurance account of the Municipal Finance Bureau according to the regulations before the end of each month.

Payment process of Qingdao residents' medical insurance