What is the highest compensation standard for social security?

Part of the medical expenses paid by individual outpatient service, drug purchase and hospitalization are directly settled by medical insurance personal account IC card, and the excess expenses are paid by the insured in cash. Within three days of hospitalization, the patient's family members or clients will go to the social security center to register with the medical insurance card. Without registration, the social security center has the right to refuse to insure its medical expenses, except in special circumstances. Every month/kloc-from 0/5 to 20, the discharged insured submits medical expenses to the social security center with medical insurance card, hospitalization diagnosis certificate and receipt of hospitalization medical expenses glossary. Employees who apply for outpatient chronic disease management should first register in the social security center and wait for the notice of the social security center for medical appraisal.

The overall fund has a minimum payment standard and a maximum payment limit. The threshold of medical expenses for the first hospitalization is 1000 yuan; For those who have been hospitalized for many times during the year, the cumulative threshold is 1500 yuan. The hospitalization expenses below Qifubiaozhun shall be borne by the individual, and the hospitalization expenses above Qifubiaozhun and below the maximum payment limit shall be paid by the overall fund in proportion.

The threshold for hospitalization medical expenses is above 1 10,000 yuan, and the overall fund pays 80%;

10000 yuan to 25000 yuan of hospitalization expenses, 82% paid by the overall fund;

Hospitalization medical expenses ranging from 25,000 yuan to 50,000 yuan shall be paid by the overall fund.

The proportion of retirees' overall fund payment increased by 5 percentage points per paragraph. According to the regulations, the annual Qifubiaozhun for outpatient medical expenses for special diseases included in the payment scope of the overall fund is 1 000 yuan, and 80% (85% for retirees) of outpatient medical expenses above the Qifubiaozhun is paid by the overall fund.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.