Job Recruitment Website - Social security inquiry - What is the reimbursement rate of Shanghai social security hospitalization?

What is the reimbursement rate of Shanghai social security hospitalization?

Legal analysis: hospitalization (including emergency observation room observation). The minimum payment standard is set for the medical expenses incurred by Shanghai urban and rural residents in each hospitalization when they participate in medical insurance, specifically: 50 yuan, a first-level medical institution; Kloc-0/00 yuan, a second-level medical institution; and 300 yuan, a third-level medical institution. More than Qifubiaozhun above part of the medical expenses, residents' medical insurance fund to pay according to the following proportion:

The elderly aged 60 and above, as well as severely disabled people who are hospitalized in community health service centers (or first-class medical institutions), pay 90%; Secondary medical institutions pay 80%; Third-level medical institutions pay 70%.

Persons under the age of 60 who are hospitalized in community health service centers (or first-class medical institutions) will be paid 80%; Secondary medical institutions pay 75%; Third-level medical institutions pay 60%.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.