Proportion of children's mutual aid reimbursement in Chengdu

Legal analysis: (1) reimbursement of outpatient medical expenses

General outpatient service: 60% of outpatient medical expenses in general outpatient service can be reimbursed, and the highest reimbursement can be made to 200 yuan every year.

Special outpatient service: special diseases need to be identified in the special special disease identification hospital, and then go to the hospital on the treatment list, and the outpatient medical expenses can be reimbursed by 60%.

Dog Injury Outpatient Service: The expenses for treating wounds and injecting rabies vaccine in outpatient service after dogs are completely injured can be reimbursed up to 200 yuan per person per year. It should be noted that dog injury outpatient reimbursement is generally in community hospitals and township hospitals.

(2) reimbursement of hospitalization medical expenses

The deductible line (threshold fee) of township hospitals and community health service centers is 100 yuan, and the proportion of basic medical reimbursement is 95%;

Deductible line (threshold fee) 100 yuan in first-class hospital, with reimbursement rate of 85%;

The deductible line (threshold fee) for hospitalization in secondary hospitals is 200 yuan, and the reimbursement rate is 75%;

The deductible line (threshold fee) for hospitalization in tertiary hospitals is 500 yuan, and the reimbursement rate is 60%.

Legal basis: Article 4 of People's Republic of China (PRC) Social Insurance Law. 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 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.