What is the reimbursement ratio of Jinan social security hospitalization?

The proportion of medical insurance reimbursement in Jinan is as follows:

1, the deductible of tertiary hospitals is 600 yuan, accounting for 65%;

2. The deductible amount of secondary hospitals is 400 yuan, accounting for 75%;

3. The deductible line of the first-level hospital is 200 yuan, accounting for 85%;

4, inter-provincial co-ordination Qifubiaozhun for 600 yuan, the proportion of 65%;

5. The inter-provincial minimum wage standard is 600 yuan, accounting for 55%.

The medical insurance card processing flow is as follows:

1. The insured person carries his/her valid certificate (ID card, household registration book, etc.). ) apply to the neighboring county medical insurance center, and the county medical insurance center will settle on the spot;

2. The insured person may also apply for the nearest street (town) medical insurance service point (hereinafter referred to as the service point) to handle it on his behalf. The service point will be settled within 3 working days, and the insured person will receive the medical insurance card at the service point within the specified time;

3. The insured person can entrust others to handle it on his behalf, and the client needs to carry the valid documents of himself and the insured person when handling it;

4. When the employer handles it centrally, it can be handled by the employer's letter of introduction and the valid certificate of the agent, and then the employer issues the medical insurance card to the insured.

The reimbursement process of medical insurance is as follows:

1, the insured person brings the discharge summary, invoice, medication list and medical certificate issued by the unit issued by a different hospital to the local social security agency for reimbursement;

2. The hospitalization expenses and medicine expenses can be settled directly at the hospital medical insurance office.

To sum up, medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.