Can social security hospitalization be reimbursed?

Need to judge according to the specific situation:

1, continuous payment meets local medical insurance reimbursement standards, and hospitalization can be reimbursed. You can't just buy it. Need to contact and pay for more than 3 months.

2. If there is a medical insurance card, general clinics and designated pharmacies can buy medicines by swiping their cards (provided that there is money in the card, and the money in the card is the part shared by individuals and units);

3. For common diseases that require hospitalization, the expenses after the related expenses exceed the deductible point can be reimbursed;

4. If you purchase other medical insurance for serious illness, you can apply for reimbursement of medical insurance for serious illness according to the rest after general medical reimbursement;

5. The detailed and specific regulations are similar everywhere. Please consult the local social security agency for details.

What is the reimbursement rate of social security card for medical treatment?

1, the use of special medical materials or disposable medical materials with a unit price of more than 1000 yuan, and the installation and replacement of artificial organs shall be paid by the basic medical insurance pooling fund at 90% of the domestic general price;

2, chronic renal failure outpatient dialysis, organ transplantation outpatient anti-rejection drug therapy, malignant tumor outpatient chemotherapy, radiotherapy, interventional therapy or radionuclide treatment of basic medical expenses, by the basic medical insurance fund to pay 90%;

3, outpatient special examination and treatment costs by the basic medical insurance fund to pay 80%, the individual pays 20%;

4. Continuous payment is linked to the reimbursement ratio. After two years of continuous insurance, the reimbursement rate increased to 765,438+0%, and after four years of continuous insurance, the reimbursement rate increased to 72%, and so on.

To sum up, whether medical insurance hospitalization in social security can be reimbursed depends on the situation. Social insurance is compulsory insurance implemented by the state for the life and medical security of employees, and there are two kinds of self-payment by employers, employees and flexible employees.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 12

The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of its employees stipulated by the state, and record it in the basic old-age insurance pooling fund.

Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employing unit and other flexible employees who have participated in the basic old-age insurance shall pay the basic old-age insurance premiums in accordance with state regulations and record them in the basic old-age insurance pooling fund and individual accounts respectively.

Article 60

The employing unit shall declare itself and pay social insurance premiums in full and on time, and shall not postpone or reduce the payment except for legal reasons such as force majeure. The social insurance premiums that employees should pay shall be withheld and remitted by the employer, and the employer shall inform me of the details of paying social insurance premiums on a monthly basis.

Individual industrial and commercial households without employees, part-time employees who have not participated in social insurance in the employing units and other flexible employees can pay social insurance premiums directly to the social insurance premium collection agencies.