Beijing University Student Medical Insurance 202 1 Policy

Beijing University Student Medical Insurance Policy 2021;

1, with wide reimbursement scope. On the basis of enjoying the reimbursement of ordinary residents such as general outpatient service, special disease outpatient service, general hospitalization, prenatal examination, hospital delivery, etc., the accidental injury outpatient service for college students has been increased;

2. The reimbursement rate is high. The reimbursement rate is 60% in the first grade and 65% in the second grade, which is 20% higher than that in the first grade of ordinary residents' medical insurance and15% higher in the second grade;

3. The reimbursement amount is large. The annual reimbursement limit of medical insurance for ordinary residents is 80,000 yuan in the first file and 1.2 million yuan in the second file. The annual reimbursement limit is adjusted to1.2000 yuan if the first-class insured of medical insurance for college students suffers from serious diseases; College students' medical insurance has a unique accidental injury clinic, and the upper limit of reimbursement is 1000 yuan/person/year.

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. The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

legal ground

People's Republic of China (PRC) social insurance law

Article 25 The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies.

People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.