How to reimburse social security cards?

Legal analysis: 1, medical reimbursement amount of social security card for urban workers

The outpatient and emergency medical expenses that meet the requirements of social security (1.1-12.31) and exceed 1800 yuan every year will be reimbursed by 50% in designated non-community medical institutions and 70% in the community. If you reimburse for the first time this year, the medical expenses incurred will be RMB 2,000 after deducting social security self-funded items and self-funded items, of which 1.800 yuan cannot reimburse, which is your personal burden. If 200 yuan is multiplied by 50% (non-community) or 70% (community), you will get 1, 000 yuan or 1, 400 yuan's reimbursement fee. Social security can reimburse you up to 20 thousand.

2, under the age of 70 retired workers social security card medical reimbursement amount

The annual expenditure is more than 65,438+0, 70% for outpatient and emergency services in 300 yuan, 65,438+05% for retirement supplementary insurance, (2000-65,438+0,300) X85% = 595 yuan.

3, employee social security card medical reimbursement amount

Hospitalization, the first hospitalization1more than 300, and later hospitalization of more than 650. Medical expenses below 30,000 yuan shall be reimbursed by 85% (level III hospital, the same below), 30,000-40,000 yuan shall be reimbursed by 90%, and more than 40,000 yuan shall be reimbursed by 95%, with a maximum payment of 70,000 yuan. If the maximum annual payment exceeds 70,000 yuan, it will be reimbursed at the rate of 70%, and the maximum annual social security payment is170,000 yuan (excluding outpatient and emergency services).

4, employee social security card medical reimbursement amount

For retired employees, if their hospitalization exceeds 1.300 yuan for the first time and 650 yuan for the second time, the medical expenses below 30,000 yuan shall be reimbursed at the rate of 9 1% (the same below), 30,000-40,000 yuan shall be reimbursed at the rate of 94%, and the part above 40,000 yuan shall be reimbursed at the rate of 97%. The upper limit of payment is the same as that of employees. In addition, except for the extra personal burden (1300 or 650), the retirement part will be reimbursed by 50%.

Legal basis: Article 3 of the Social Insurance Law of People's Republic of China (PRC) adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.

People's Republic of China (PRC) Social Insurance Law Article 4 Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights and interests records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.