Job Recruitment Website - Social security inquiry - What is the proportion of reimbursement for residents' medical insurance in different places?
What is the proportion of reimbursement for residents' medical insurance in different places?
1. Reimbursement ratio of basic medical insurance: the reimbursement ratio of basic medical insurance for medical treatment in different places is divided into two grades, in which the proportion of individual contributions of non-poor people is 30% and that of poor people is 20%.
2. Reimbursement ratio of major illness insurance: the reimbursement ratio of major illness insurance for medical treatment in different places is 80%, and the part beyond the scope of protection shall be borne by the insured.
Conditions for reimbursement of medical insurance in different places:
1, participation status: reimbursement for medical insurance in different places is only applicable to those who participate in medical insurance systems such as urban workers' basic medical insurance, urban and rural residents' basic medical insurance and new rural cooperative medical care;
2. Payment record: when applying for reimbursement in different places, the applicant must have paid the medical insurance fee and meet the requirements of payment time and standard;
3. Reimbursement scope: policies such as reimbursement scope and reimbursement ratio of medical insurance in different places shall be subject to the relevant policies and regulations of the insured place. It should be noted that medical insurance reimbursement policies may be different in different regions, and applicants need to handle them according to local policies and regulations;
4. Hospital selection: When seeking medical treatment in different places, the applicant must choose a designated medical institution for medical insurance, otherwise he will not be able to enjoy medical insurance reimbursement;
5. Reimbursement application materials: Applicants need to prepare complete reimbursement application materials, including medical bills, expense lists, medical treatment certificates in different places, and reimbursement application forms.
The materials required for reimbursement of medical treatment in different places are as follows:
1, basic material. Under normal circumstances, the reimbursement of medical insurance in different places needs to provide hospitalization medical records, expense lists, original vouchers of medical expenses, proof of discharge conditions, including course of treatment, medical insurance card, my bank account number, ID card, household registration book, transfer procedures or certificates, valid hospitalization certificates and other materials;
2. Long-term work in different places. A copy of the valid labor contract signed by the insured and the employer, the medical insurance record book for medical treatment in different places or the certificate of assignment of the unit and related materials shall be stamped with the official seal of the unit and the business license of the employer;
3. Living in a different place for a long time. If the place of residence is the place of household registration, provide a copy of the relevant household registration certificate; If the residence is a non-registered residence, the original certificate of continuous residence for more than 6 months or a copy of the temporary residence permit issued by the police station, street or neighborhood Committee where the residence belongs shall be provided. For employees who have lived in different places for more than 6 months continuously, the original information statement issued by the unit and a copy of the applicant's ID card are required. If it is entrusted to others, a copy of the client's ID card shall also be provided.
To sum up, the specific reimbursement ratio may be different due to factors such as regions and policies. It is recommended to consult the local medical insurance department or social security agency before seeking medical treatment in order to understand the specific reimbursement policies and standards.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
- Related articles
- Address of jinping district Social Security Bureau
- If social security is not stopped, can the company do it by itself?
- Can dental implants be reimbursed by social security card? You must come to Wuhan Zhongnuo.
- Hangzhou social security payment standard 2023
- Chongqing social security inquiry landing entrance
- Can workers' social endowment insurance in Ninghai County, Zhejiang Province be transferred to Chongren County, Jiangxi Province?
- How much is the salary of social security kindergarten teachers in private kindergartens?
- Can a company pay social security alone?
- Can I fill in the social security education casually?
- Can I buy medicine online with my medical insurance card?