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What is the proportion of reimbursement for children's social security in different places?
Proportion of medical insurance reimbursement in different places:
Medical expenses of individual medical insurance accounts can be transferred to Zigui Medical Insurance Bureau regularly, and hospitals in other provinces should be designated hospitals for local medical insurance.
The minimum payment standard is 88% above 3000 yuan, 90% above 3000-5000 yuan, 92% above 5000- 10000 yuan, and 95% above 10000 yuan to the maximum payment limit, including 80% for class B drugs and 70% for expensive drugs, special inspection and special treatment.
Scope of reimbursement for medical insurance in different places:
The reimbursement for medical treatment in different places is divided into internal medicine and other hospitals, and cannot be reported outside medical insurance. All you need is hospitalization procedures, medical list and personal medical insurance card. The reimbursement time is 3-6 months.
A, door (emergency) diagnosis of large Medicaid maximum payment limit of 5500 yuan; Qifubiaozhun is 800 yuan, an on-the-job employee, 700 yuan, a retiree over 60 and under 70, and 600 yuan, a retiree over 70. Reimbursement ratio: the reimbursement ratio of tertiary hospitals is 55%; The reimbursement rate of secondary hospitals is 65%; The reimbursement rate of first-class hospitals is 75%.
Two, hospitalized in a medical year, the first hospitalization Qifubiaozhun, tertiary hospital 1700 yuan, secondary hospital 1 100 yuan, a hospital in 800 yuan. Secondary and above hospitalization: tertiary hospital 500 yuan, secondary hospital 350 yuan, and primary hospital 270 yuan. Reimbursement ratio: 85% of employees with a minimum threshold of 55,000 yuan will be reimbursed; Retirees are 90%. For medical expenses ranging from 55,000 yuan to 6,543.8+0.5 million yuan, the reimbursement ratio of employees and retirees is 80%. Old workers who took part in the work before the founding of the People's Republic of China were reimbursed 95% in tertiary and secondary hospitals and 97% in primary hospitals.
Three, the maximum payment limit of large medical assistance is 300 thousand yuan, and the reimbursement ratio of employees and retirees is 80%.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.
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