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What is the reimbursement ratio of Yantai social security hospitalization?
What is the proportion of social security hospitalization reimbursement? According to the level of economic development in different regions and the level of the hospital where the insured person is located, the reimbursement ratio is also different. For example, tertiary hospitals can be reimbursed 85% if the cost is less than 30,000 yuan; Expenses ranging from 30,000 yuan to 40,000 yuan can be reimbursed by 90%; If the expenses exceed 40,000 yuan to the maximum payment limit, 95% can be reimbursed.
Legal objectivity:
People's Republic of China (PRC) social insurance law
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.
Social insurance law
People's Republic of China (PRC) social insurance law
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.
Social insurance law
People's Republic of China (PRC) social insurance law
Article 29
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.
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