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What is the proportion of social security reimbursement in hospitals?
Legal analysis: medical insurance card reimbursement is generally proportional, generally 60%-70%. In a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, with the threshold of RMB 659 for tertiary hospitals and the upper limit of reimbursement ratio of RMB 2,000; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.
Legal basis: Article 26 of the Social Insurance Law of People's Republic of China (PRC), the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
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