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How much can the social security card be reimbursed in different places?
1, level 1 hospital, 90% for the part above the minimum threshold;
2, secondary hospitals, Qifubiaozhun to 10000 yuan (inclusive) to pay 85%, more than 10000 yuan to pay 90%;
3. 80% of the minimum deductible of tertiary hospitals is above 5,000 yuan (inclusive), 85% of the minimum deductible of 5,000 yuan to 10000 yuan, and 90% of the maximum deductible of 10000 yuan.
4. Retirees will increase by 5% on the basis of the above payment ratio. The time limit for reimbursement is different in different cities. For example, according to the current medical insurance policy in Shenzhen, if the insured person advances medical expenses, he should apply for reimbursement within 12 months from the date of the expenses or the date of discharge, and will not be reimbursed after the time limit.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).
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.
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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